Richard A Bolisenga
NPI #1588329494 in Midlothian, Illinois
Provider Information
- NPI Number
- 1588329494
- Entity Type
- Individual
- Name
- Richard A Bolisenga
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacy Technician
- Enumeration Date
- Nov 4, 2021
- Last Updated
- Nov 4, 2021
Practice Location
- Address
- 3812 148TH ST
- City
- Midlothian
- State
- Illinois
- ZIP Code
- 60445-3415
- Phone
- (312) 415-0058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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