Luis A. Bolanos, M.D.

Pediatrics Physician · Aurora, IL

Individual Active NPI

NPI number 1285687673

Practice location

2121 Ridge Ave
Suite 101
Aurora, IL 60504-7000
Phone
(630) 820-7100
Fax
(630) 264-2524

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NPI record

NPI
1285687673
Entity type
Individual (Type 1)
Enumeration date
May 18, 2006
Last updated
August 27, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036090032 IL

Mailing address

1256 Waterford Dr Ste 230
Aurora, IL 60504-4511
Phone
(630) 499-2404
Fax
(630) 692-5518

About Dr. Bolanos

Luis A. Bolanos, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2121 Ridge Ave, Suite 101, Aurora, IL 60504-7000. The NPI number 1285687673 was assigned on May 18, 2006 and the record was last updated on August 27, 2019.

Dr. Bolanos lists a license in the registry: #036090032 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Luis A. Bolanos, M.D.?

The NPI number is 1285687673.

What is the phone number of Dr. Bolanos?

The phone number listed for the practice location is (630) 820-7100.

Where is Dr. Bolanos located?

2121 Ridge Ave, Suite 101, Aurora, IL 60504-7000.

What is the taxonomy code for Dr. Bolanos?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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