Therese Marie Bolger, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085.004226 Issued in IL

Practice address

4255 W 63Rd St
Chicago, IL 60629-5041

Phone

(773) 424-4048

Fax

(773) 424-6463

NPI assigned

Mar 1, 2012

Last updated

May 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

79.28 of 100Reported as group

Quality

73.83

Improvement activities

40

Cost

45.57

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 31)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1528379195
  Medicare reassignment
• Radial Health SC

  dba Rehabilitation Medicine Specialists

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1215954185
  Medicare reassignment
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1316829146
  NPD
• Birinder S Marwah MD LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1497784235
  NPD (past)

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1871867374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295041",
            "telephone_number": "773-424-4048",
            "fax_number": "773-424-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295041",
            "telephone_number": "773-424-4048",
            "fax_number": "773-424-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLGER",
        "first_name": "THERESE",
        "middle_name": "MARIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.004226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Boler, MD
• Bolero Pharmacy LLC (Bolero Pharmacy)
• Kyla Boles, L.AC
• Yvette Michelle Boles, PSY.D.
• Bolevika Inc
• Beth Nachtsheim Bolick, RN CNP
• Margaret Mary Bolin, LCPC, CADC
• Meredith Bolin
• Rachel Lea Bolin, CD
• Christina Bolis, LPC

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.