Doctor Name: | DR. SUSAN G. BOLTON |
NPI Number: | 1336156884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036-082604 |
Business Practice Address: | 1801 Windsor Rd Champaign, IL - 618226217 |
Business Phone Number: | 2173661257 |
Business Fax Number: | |
Mailing Address: | 101 W University Ave, CHAMPAIGN |
State: | IL |
Postal Code: | 618203909 |
Phone Number: | 2173661326 |
Fax Number: | 2173666106 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 036-082604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician 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. |