MEDICARE: BOLDJAY LLC

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	246QM0706X	Medical Technologist

General Provider Information

NPI Number	:	1124773221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOLDJAY LLC

Provider Business Mailing Address
First Line	:	2138 S INDIANA AVE APT 805
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-5151
Country	:	US
Telephone Number	:	832-713-3354
Fax Number	:

Provider Business Practice Location Address
First Line	:	2138 S INDIANA AVE APT 805
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-5151
Country	:	US
Telephone Number	:	832-713-3354
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JULIUS AMAEFULE
Credential	:
Telephone Number	:	832-713-3354

Provider Enumeration Date	:	02/16/2022
Last Update Date	:	02/16/2022

Similar Medicare Providers

1467508861 — DR. SAM S SCOTT D.C.
Practice Location Address:

2834 N HALSTED ST
CHICAGO, IL
60657-5151

Practice Phone: 312-933-5155
Practice Fax: 773-549-4776

1295922888 — JAGEN HOME HEALTH SERVICES,INC
Practice Location Address:

5151 N HARLEM AVE STE 207
CHICAGO, IL
60656-3686

Practice Phone: 773-631-2573
Practice Fax: 773-631-2593

1619281482 — CHICAGOLAND FAMILY CARE LLC
Practice Location Address:

5151 N LINCOLN AVE
CHICAGO, IL
60625-2520

Practice Phone: 773-334-6370
Practice Fax:

1871853259 — PONG MEDICAL CENTER LLC
Practice Location Address:

5151 N LINCOLN AVE
CHICAGO, IL
60625-2520

Practice Phone: 773-784-0900
Practice Fax: 773-784-6173

1518336247 — MANYA HADAEGH BAHRAINI LPC, JD, CDR
Practice Location Address:

5151 N WESTERN AVE # 1
CHICAGO, IL
60625-2548

Practice Phone: 312-613-6323
Practice Fax:

1487170957 — NATALYA KUZENKOVA APN
Practice Location Address:

5151 N LINCOLN AVE
CHICAGO, IL
60625-2520

Practice Phone: 773-784-0900
Practice Fax:

Directions to “BOLDJAY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.