MEDICARE: MARGARET ELIZABETH BOLLINGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1093696007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET ELIZABETH BOLLINGER

Provider Business Mailing Address
First Line	:	16758 S OTTAWA DR
Second Line	:
City	:	LOCKPORT
State	:	IL
Zip	:	60441-4372
Country	:	US
Telephone Number	:	779-875-1510
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 BARTON DR
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-7735
Country	:	US
Telephone Number	:	708-738-0852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	09/08/2025

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