Brightlife Regenerative Medical Clinic of Bolingbrook
NPI #1285225508 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1285225508
- Entity Type
- Organization
- Organization Name
- Brightlife Regenerative Medical Clinic of Bolingbrook
- Primary Specialty
- General Practice
- Enumeration Date
- Jan 29, 2021
- Last Updated
- Jan 29, 2021
Practice Location
- Address
- 231 N BOLINGBROOK DR
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-1960
- Phone
- (630) 759-8989
Authorized Official
- Name
- DR. STEVEN BURLISON
- Title
- OWNER
- Phone
- (630) 759-8989
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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