Marybeth Bolanowski, PA
Marybeth Bolanowski, PA is a Physician Assistant in Lombard, Illinois. Qualified in 1997, 29 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 29
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1801 S Highland Ave Ste 220Lombard, IL 60148-4932
Phone: (630) 790-1872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085001424 (IL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 085001424 (IL) |
Record details
| NPI number | 1891781639 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 27, 2005 |
| Last updated in NPPES | June 27, 2023 |
| Certification date | June 27, 2023 |
| Mailing address | Po Box 713260, Chicago, IL 60677-1260 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Dupage Medical Group Ltd — 1328 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Lombard
-
Sarah R. Colomb, PA
1801 S Highland Ave, Lombard, IL 60148-4932 · (630) 545-4075
-
MS. Jennifer L Lim, PA-C
1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 · (630) 873-8700
-
Natalie Mecum, PA-C
1801 S Highland Ave, Lombard, IL 60148-4932 · (630) 783-8700
-
Mr. Mohammad I Mohiuddin I, RSA, CSA
208 Westmore Meyers Rd, Lombard, IL 60148-3041 · (630) 935-2118