Dominique Bolden
Dominique Bolden is a Case Manager/Care Coordinator in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4811 S Wabash Ave Apt 2Chicago, IL 60615-2342
Phone: (708) 776-3548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1306617345 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2024 |
| Last updated in NPPES | January 9, 2024 |
| Certification date | January 9, 2024 |
| Mailing address | 4811 S Wabash Ave Apt 2, Chicago, IL 60615-2342 |
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