Bolotin, Diana

Bolotin, Diana is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave Mc 5067, Chicago IL 60637-1447. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bolotin, Diana can be contacted via phone (773) 834-9821.

Contact Information

Primary practice address
5841 S Maryland Ave Mc 5067 Chicago IL 60637-1447
Phone: (773) 834-9821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036.125194 Illinois
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 036.125194 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036.125194 Illinois

Profile Details

NPI number 1164746905
LBN Legal business name Bolotin, Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2010
Last updated Mar 23rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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