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Contact Information

SCOTT M BOLTON, MD
3232 LAKE AVE STE 330
WILMETTE, IL60091-1085
 Phone: 847-570-1795
 Fax: 847-503-4590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SCOTT M BOLTON · (Male)

NPI Number 1831489996
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2011
Last updated 07/21/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036137475
  • IL License # 036173195
  • OH License # 35.123879
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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