COLLEEN BOLOTIN APN NPI 1295195865

NPI Information

NPI: 1295195865
Provider Name: COLLEEN BOLOTIN, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ADVOCATE HEALTH AND HOSPITALS CORPORATION

PECOS Registration: Yes

Address:
224 BROWN ST
WAUCONDA, IL
ZIP 60084
Phone: (847) 795-3350
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Colleen Bolotin, APN is a family nurse practitioner in Wauconda, IL with 17 years of experience. Colleen Bolotin, APN NPI is 1295195865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

224 BROWN ST
WAUCONDA, IL
ZIP 60084-747
Phone: (847) 795-3350

The NPI 1295195865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/25/2016 and was last updated on 2/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041361419	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209012461	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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