Healthcare Provider Details

I. General information

NPI: 1922918713
Provider Name (Legal Business Name): NACALA AMONDI BOLLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 MC DOWELL RD STE 101
NAPERVILLE IL
60563-6533
US

IV. Provider business mailing address

2211 BLACKBERRY RDG
PLAINFIELD IL
60586-5562
US

V. Phone/Fax

Practice location:
  • Phone: 331-229-8839
  • Fax:
Mailing address:
  • Phone: 773-891-6687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: