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DOMINIQUE BOLDEN
NPI 1306617345
Case Manager/Care Coordinator in Chicago, IL

Active since January 09, 2024
4811 S WABASH AVE APT 2, CHICAGO, IL 60615(708) 776-3548 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique Bolden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE BOLDEN (NPI 1306617345) is an individual case manager/care coordinator provider in Chicago, Illinois and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1306617345
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDOMINIQUE BOLDEN
Location Address4811 S WABASH AVE APT 2Chicago, IL 60615-2342
Mailing Address4811 S Wabash Ave Apt 2Chicago, IL 60615-2342 · (708) 776-3548
Phone(708) 776-3548
Sole ProprietorYes
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1306617345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4811 S WABASH AVE APT 2, Chicago, IL 60615
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Bolden's NPI number?

The NPI number for Dominique Bolden is 1306617345. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Dominique Bolden located?

Dominique Bolden practices at 4811 S Wabash Ave Apt 2, Chicago, IL 60615. The listed phone number is (708) 776-3548.

What is Dominique Bolden's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Dominique Bolden was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.