1. Home
  2. Directory
  3. Illinois
  4. Morris
  5. Internal Medicine
  6. NPI Profile

JOHN BOLDEN M.D. S.C.
NPI 1891977294
Internal Medicine - Infectious Disease in Morris, IL

Active since November 28, 2007
114 W WAVERLY ST, MORRIS, IL 60450(708) 349-0055 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John Bolden M.d. S.c. NPPES

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

JOHN BOLDEN M.D. S.C. (NPI 1891977294) is a healthcare organization registered as an infectious disease in Morris, Illinois and active in the NPI registry since November 2007. The organization lists John Bolden, Owner, as its authorized official.

NPPES Registry Identity

NPI1891977294
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameJOHN BOLDEN M.D. S.C.
Location Address114 W WAVERLY STMorris, IL 60450-1422
Mailing Address10660 W 143rd St Ste BOrland Park, IL 60462-1989 · (708) 349-0055 · Fax (708) 460-8031
Phone(708) 349-0055
Organization SubpartNo
Authorized OfficialJohn BoldenOwner · (708) 349-0055
Enumeration DateNovember 28, 2007
Last NPPES UpdateFebruary 3, 2011
✔ NPI 1891977294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in IL · 036106844
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
114 W WAVERLY ST, Morris, IL 60450
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN211481IL
Medicaid036106844IL
OtherDE2561IL · Palmetto Rr Medicare
Other03232029IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KUCINSKI MEDICAL LTD
Internal Medicine
114 W WAVERLY ST
MORRIS, IL 60450
Grundy County (815) 941-8210
OLGA M PEPLOS MD PC
Internal Medicine
114 W WAVERLY ST
MORRIS, IL 60450
Grundy County (815) 941-1580
OLGA MARIE PEPLOS MD
Internal Medicine
114 W WAVERLY ST
MORRIS, IL 60450
Grundy County (815) 513-5380

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 John Bolden M.D. S.C.'s NPI number?

The NPI number for John Bolden M.D. S.C. is 1891977294. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is John Bolden M.D. S.C. located?

John Bolden M.D. S.C. is located at 114 W Waverly St, Morris, IL 60450. The listed phone number is (708) 349-0055.

What is John Bolden M.D. S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for John Bolden M.D. S.C. was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.