MICHELLE BOLANO


Address: 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-5263
Phone: 8479187947

MICHELLE BOLANO (NPI# 1750580049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750580049
Entity Type Individual
Full Name MICHELLE BOLANO
Credential D.P.T.
Practice Address 1800 Hollister Dr
Suite 205
Libertyville
IL 60048-5263
Mailing Address 530 Sheridan Rd
Apt 2b
Evanston
IL 60202-3119
Practice Telephone 8479187947
Mailing Telephone 8472047919
Enumeration Date 2007-07-16
Last Update Date 2007-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1800 HOLLISTER DR
SUITE 205
City LIBERTYVILLE
State IL
Zip Code 60048-5263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508862384 Ronald Lee Freeman Ophthalmology 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-3253 2005-06-25
1679957518 Dana Beth Cohen Social Worker 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2015-07-09
1063833796 Diane M Bailey Yoder Counselor 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2013-12-24
1053755538 Jenny M. Siddiqi Psychologist 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2013-04-26
1649583501 Megan Claire Kawadza Occupational Therapist 1800 Hollister Dr, Ste 205, Libertyville, IL 60048-5263 2010-07-21
1417277930 Erika Lynch Physician Assistant 1800 Hollister Dr, Ste 102, Libertyville, IL 60048-5263 2010-06-07
1669625406 Marisa Maria Kunz Psychologist 1800 Hollister Dr, Libertyville, IL 60048-5263 2008-10-24
1720252323 Elizabeth Ann Cole Physical Therapist 1800 Hollister Dr, 205, Libertyville, IL 60048-5263 2008-04-15
1033381140 Gurnee Radiology Center, LLC Radiology 1800 Hollister Dr, Suite G-10, Libertyville, IL 60048-5263 2008-03-28
1477749430 Elizabeth K Baruffi Physician Assistant 1800 Hollister Dr, Suite 102, Libertyville, IL 60048-5263 2007-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184119950 Park Avenue Dental Professionals, PC Dentist 1001 W. Park Avenue, Libertyville, IL 60048 2018-06-25
1437643525 Shanna Coyle Registered Nurse 1128 Jaimee Ln, Libertyville, IL 60048 2018-06-21
1366943672 Jackie Rayyan Behavior Technician 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 2018-02-22
1851804850 Mary E. Linsey Counselor 34180 Highway 45, Libertyville, IL 60048 2017-11-13
1962929018 Affinity Integrated Healthcare Chiropractor 736 Florsheim Dr, St 12, Libertyville, IL 60048 2017-08-29
1164946471 Christianna Patterson Speech-Language Pathologist 1870 W Winchester Rd #203, Libertyville, IL 60048 2017-07-28
1962938407 Kyle Winiger Specialist/Technologist 4551 West Gavin Lane, Libertyville, IL 60048 2017-05-03
1396291530 Karyn Kolner Physical Therapist 860 W Winchester Rd, #108, Libertyville, IL 60048 2016-08-28
1477900785 Medlogic LLC Clinic/Center 114 West Rockland Road, Suite 201, Libertyville, IL 60048 2016-05-17
1477926343 Robert Mcnulty Student in an Organized Health Care Education/Training Program 1313 Crane Blvd, Libertyville, IL 60048 2015-11-02
Find all providers in zip 60048

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477926343 Robert Mcnulty Student in an Organized Health Care Education/Training Program 1313 Crane Blvd, Libertyville, IL 60048 2015-11-02
1639781107 Ashley May York Student in an Organized Health Care Education/Training Program 1641 N Milwaukee Ave Ste 7, Libertyville, IL 60048-1350 2020-08-17
1255986857 Lizzette Arcos Student in an Organized Health Care Education/Training Program 1113 S Milwaukee Ave, Libertyville, IL 60048-3758 2019-08-09
1215419320 Lindsay Nicole Bishop Student in an Organized Health Care Education/Training Program 1113 S Milwaukee Ave, Libertyville, IL 60048-3758 2018-09-05
1184104770 Catherine Lois Hoff Student in an Organized Health Care Education/Training Program 1641 N Milwaukee Ave Ste 7, Libertyville, IL 60048-1350 2018-08-14
1538666078 Christopher Bernard Girardo Student in an Organized Health Care Education/Training Program 422 Broadway St, Libertyville, IL 60048-2321 2018-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134720436 April Renee Gallik Student in an Organized Health Care Education/Training Program 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 2020-11-03
1932709706 Samantha Klosak Student in an Organized Health Care Education/Training Program 8144 Old Mill Rd, Frankfort, IL 60423-8675 2020-10-29
1508466624 Carly Belle Mitchell Student in an Organized Health Care Education/Training Program 870 Appletree Ct, Northbrook, IL 60062-3402 2020-10-28
1144829813 Payton Collins Student in an Organized Health Care Education/Training Program 5103 S Brookstone Dr, Rochelle, IL 61068-9131 2020-10-22
1821697830 Mayuri Prashant Shende Student in an Organized Health Care Education/Training Program 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 2020-10-21
1922607001 Katherine Chen Student in an Organized Health Care Education/Training Program 2305 Mohawk Ln, Glenview, IL 60026-1035 2020-10-20
1922606995 Cassia Yuechun Weigel Student in an Organized Health Care Education/Training Program 601 N Main St Apt 5s, Normal, IL 61761-1576 2020-10-13
1679171888 Manuel J Ramirez Student in an Organized Health Care Education/Training Program 714 W Woodland Rd, Lake Bluff, IL 60044-1652 2020-10-12
1205443975 Nickolas Armstrong Student in an Organized Health Care Education/Training Program 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 2020-09-28
1871109496 Morgan Elizabeth Westjohn Student in an Organized Health Care Education/Training Program 111 Mound St, Sainte Marie, IL 62459 2020-09-18
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Competitor

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City LIBERTYVILLE
Zip Code 60048

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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