IndividualActive
Alyssa Bolduan
NPI 1336535657 · Otolaryngology Physician · Geneva, IL
Provider details
- NPI number
- 1336535657
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 60967 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
302 Randall Rd Ste 202
Geneva, IL 60134-4204
Phone: (630) 938-3900
Fax: (630) 938-3910
Approximate (ZIP-level) locationGet directions
Mailing address
302 Randall Rd Ste 202
Geneva, IL 60134-4204
Additional practice locations (1)
- 3601 the Vanderbilt ClinicNashville, TN 37232-3328Phone: (615) 322-3000
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2022-04-29
- Certified
- 2022-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.