John R Bolden (NPI# 1073666707, PAC ID# 6507805736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1073666707 |
| PAC ID by PECOS | 6507805736 |
| Professional Enrollment ID | I20050429000855 |
| Full Name | John R Bolden |
| Organization Legal Name | MORRIS HOSPITAL |
| Address |
151 W High St Morris IL 60450-1407 |
| Phone Number | 8157051000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1850372459 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140101 | MORRIS HOSPITAL & HEALTHCARE CENTERS |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| Address | Phone | Organization |
|---|---|---|
| 151 W High St, Morris, IL 60450-1407 | 8157051000 | MORRIS HOSPITAL |
| Organization Legal Name | MORRIS HOSPITAL |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie L Henline | Nurse Practitioner | Morris Hospital | 25259 S Reed St, Channahon, IL 60410-6003 |
| Jaynee E Pendergast | Family Medicine | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
| Hasan O Suleiman | Family Medicine | Morris Hospital | 100 Gore Rd, Morris, IL 60450-9466 |
| Jody R Delind | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Stacey R Johnson | Nurse Practitioner | Morris Hospital | 4 E N St, Coal City, IL 60416-1087 |
| Jennifer A Frye | Nurse Practitioner | Morris Hospital | 522 Depot St, Mazon, IL 60444-3706 |
| Syed M Ahmed | Cardiovascular Disease (cardiology) | Morris Hospital | 151 W High St, Morris, IL 60450-1407 |
| Kathleen A Ulivi | Nurse Practitioner | Morris Hospital | 101 S Prairie Ave, Dwight, IL 60420-1350 |
| Michael J Liston Jr. | Family Medicine | Morris Hospital | 105 Saravanos Rd, Yorkville, IL 60560-5813 |
| Diane M Zuelke | Nurse Practitioner | Morris Hospital | 1802 N Division St, Suite 703, Morris, IL 60450-3104 |
| Street Address |
151 W HIGH ST |
| City | MORRIS |
| State | IL |
| Zip | 60450-1407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syed M Ahmed | Cardiovascular Disease (cardiology) | Morris Hospital | 151 W High St, Morris, IL 60450-1407 |
| Muhammad R Marwali | Cardiac Electrophysiology | Morris Hospital | 151 W High St, Morris, IL 60450-1407 |
| Ian P Best | Pediatric Medicine | Morris Hospital | 151 W High St, Morris, IL 60450-1407 |
| Gudmundur S Gudmundsson | Cardiovascular Disease (cardiology) | Morris Hospital | 151 W High St, Morris, IL 60450-1407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Pilar N Estilo | Interventional Pain Management | 1802 N Division St, Suite 505, Morris, IL 60450-1183 | |
| Mark A Kijek | Obstetrics/gynecology | 1802 N Division St, Suite 303, Morris, IL 60450-1184 | |
| Timothy Ortiz | Optometry | Ortiz Eye Associates, P. C. | 880 Bedford Rd, Morris, IL 60450-1209 |
| Angelo Marino | Optometry | Ortiz Eye Associates, P. C. | 880 Bedford Rd, Morris, IL 60450-1209 |
| Jody R Delind | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Victoria Ochoa | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Erik K Muraskas | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Douglas N Toussaint | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Neena Will | Otolaryngology | Tripti Burt Plastic Surgery Sc | 1345 N Edwards St, Suite 1, Morris, IL 60450-1401 |
| Tripti Burt | Plastic and Reconstructive Surgery | Tripti Burt Plastic Surgery Sc | 1345 N Edwards St, Suite 1, Morris, IL 60450-1401 |
| Find all physicians in zip 60450 | |||
| City | MORRIS |
| Zip Code | 60450 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | MORRIS + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on John R Bolden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.