Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Therese Marie Bolger, PA

Individual provider Medical Physician Assistant · NPI 1871867374

Therese Marie Bolger, PA is a Medical Physician Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4255 W 63rd St
Chicago, IL 60629-5041
Phone: (773) 424-4048
Fax: (773) 424-6463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085.004226 (IL)

Record details

NPI number1871867374
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 1, 2012
Last updated in NPPESMay 7, 2019

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