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Contact Information

BRIDGEWELL LLC
402 W BOUGHTON RD STE A
BOLINGBROOK, IL60440-1998
 Phone: 312-451-6148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Community Health

261QC1500X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for BRIDGEWELL LLC · (Female)

NPI Number 1972296382
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2023
Last updated 09/01/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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