Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michaelina Bolton, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861695520

Dr. Michaelina Bolton, MD is a Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois. Licensed in Illinois and Michigan. Registered with an NPI since 2007.

Licensed in
IL, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-4077
Fax: (708) 684-1028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036127348 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301090132 (MI)

Record details

NPI number1861695520
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address4440 W 95th St, Oak Lawn, IL 60453-2600

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