ELIZABETH M. BOLASH PSY.D. PC NPI 1437104403

NPI Information

NPI: 1437104403
Provider Name: ELIZABETH M. BOLASH, PSY.D., PC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
115 S WILKE RD
SUITE 300
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 259-2020
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ELIZABETH M. BOLASH, PSY.D., PC is a mental health (including community mental health center) clinic center in Arlington Heights, IL. ELIZABETH M. BOLASH, PSY.D., PC NPI is 1437104403. The provider is registered as an organization entity type.

The provider's business location address is:

115 S WILKE RD
SUITE 300
ARLINGTON HEIGHTS, IL
ZIP 60005-532
Phone: (847) 259-2020
Fax: (847) 259-2078

The provider's authorized official is Elizabeth M Bolash .
The authorized official title is Psychologist and has the following contact phone number (847) 259-2020.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/22/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		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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