Dr. Susan G. Bolton
M.D. | Pediatrics | Female
Dr. Susan G. Bolton, M.D. is a Champaign, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Susan G. Bolton is
1801 W Windsor Rd, Champaign, Illinois - 61822-6217. She can be contacted on phone at
217-366-1257 and fax number 217-366-6110.
Dr. Susan G. Bolton is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Susan G. Bolton is
1336156884 which was assigned by NPPES on 01 Aug, 2006 and it was last updated on 05 Jan, 2022.
Dr. Susan G. Bolton license number is
036-082604 for Pediatrics (208000000X) in Illinois.
Dr. Susan G. Bolton is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Susan G. Bolton basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Susan G. Bolton |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Susan G. Bolton address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1801 W Windsor Rd
Champaign, IL, 61822-6217
United States |
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| Phone Number : | 217-366-1257 |
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| Fax Number : | 217-366-6110 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336156884 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Aug, 2006 |
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| Last Updated On : | 05 Jan, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan G. Bolton are as mentioned. Primary taxonomy code for Dr. Susan G. Bolton, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036-082604 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Susan G. Bolton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 279500 | Other | IL | MEDICARE GROUP |
| 036082604 1 | MEDICAID | IL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sboltonmd113342@CarleHieDirect.net
| No affiliation | DIRECT
Direct
| CSV
CSV
| 1801 W WINDSOR RD,
CHAMPAIGN, IL, 61822-6217
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 101 W University Ave
Champaign, IL, 61820-3909
United States |
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| Phone Number : | 217-366-1326 |
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| Fax Number : | 217-366-6106 |
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Business Location:
Patients can refer following map for directions to
Dr. Susan G. Bolton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.