Bolingbrook Healthcare Associates S.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BOLINGBROOK HEALTHCARE ASSOCIATES S.C.

Practice address

181 Fernwood Dr
Bolingbrook, IL 60440-4525

Phone

(630) 759-9191

Fax

(630) 759-9118

NPI assigned

Jul 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Munira Mamendra Patel, M.D

Title

MD

Phone

(630) 759-9191

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821296450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FERNWOOD DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404525",
            "telephone_number": "630-759-9191",
            "fax_number": "630-759-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FERNWOOD DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404525",
            "telephone_number": "630-759-9191",
            "fax_number": "630-759-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLINGBROOK HEALTHCARE ASSOCIATES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUNIRA",
        "authorized_official_middle_name": "MAMENDRA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-759-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bolingbrook Eye Care & Eyewear Gallery, LLC
• Bolingbrook Eye Specialists LTD
• Bolingbrook Family Chiropractic LTD
• Bolingbrook Foot & Ankle Center, P.C.
• Bolingbrook Foot Specialists LTD
• Bolingbrook Home Health LLC
• Bolingbrook Memory Care, LLC
• Bolingbrook Pediatrics, SC
• Bolingbrook Pharmacy Inc
• Bolingbrook Taxi and Limousine Co

• Health Service Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.