Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Marybeth Bolanowski, PA
Physician Assistant in Lombard, IL · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1891781639
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Registry record
Entity type Individual (Type 1)
Name Marybeth Bolanowski
Credential PA
Sex Female
Practice address 1801 S Highland Ave Ste 220, Lombard, IL, 60148
Phone (630) 790-1872
Enumeration date Sep 27, 2005
Last updated in NPPES Jun 27, 2023
Taxonomy & licenses
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085001424 (IL) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085001424 (IL) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970023229 | Other | IL | RAILROAD MEDICARE |
| 085001424 | Medicaid | IL | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Marybeth Bolanowski practice?
The practice location on file with NPPES is in Lombard, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Marybeth Bolanowski?
The National Provider Identifier (NPI) for Marybeth Bolanowski is 1891781639, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-27.