IndividualActive
Alexander Bolton, D.O.
NPI 1639581127 · Internal Medicine Physician · Belleville, IL
Provider details
- NPI number
- 1639581127
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 036.163598 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone: (618) 233-3066
Fax: (618) 233-3066
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2529
Registry dates
- Enumerated
- 2014-06-02
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.