Bolton, Edmund C.

Bolton, Edmund C. is an individual health care provider with primary practice located at 120 N Oak St , Hinsdale IL 60521-3829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bolton, Edmund C. can be contacted via phone (630) 856-6782.

Contact Information

Primary practice address
120 N Oak St Hinsdale IL 60521-3829
Phone: (630) 856-6782
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36-047162 Illinois

Profile Details

NPI number 1780658880
LBN Legal business name Bolton, Edmund C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 13th, 2026 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780658880 NPPES
Illinois MEDICAID 36-047162

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