IndividualActive
Alexa Bolden, DPM
NPI 1366246555 · Foot & Ankle Surgery Podiatrist · Chicago, IL
Provider details
- NPI number
- 1366246555
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- 135001274 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Phone: (847) 723-8077
Approximate (ZIP-level) locationGet directions
Mailing address
836 W Wellington Ave
Chicago, IL 60657-5147
Registry dates
- Enumerated
- 2025-04-04
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.