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General NPI Number Information
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NPI Number | 1235437104
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Entity Type | Organization
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Legal Business Name | BOLTON FAMILY CHIROPRACTIC LTD
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 349 S WEBER RD STE 136
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City | ROMEOVILLE
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State | IL
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Zip | 60446-6675
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Country | US
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Telephone | 815-999-7903
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Fax |
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Provider Business Mailing Address
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Address Line | 5070 CHAMBERS DR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60010-5647
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Country | US
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Telephone | 815-999-7903
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Fax | 815-782-4414
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Authorized Official
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Title or Position | INSURANCE AND PATIENT BILLING
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Name | MS. LIA BAKOS
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Credential |
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Telephone | 159-999-7903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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