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Brightlife Regenerative Medical Clinic of Bolingbrook

NPI 1285225508ActiveOrganization· General Practice· Bolingbrook, IL

General Practice in Bolingbrook, Illinois, registered in NPPES in January 2021. The authorized official on file is Steven Burlison, Owner.

Overview

NPI1285225508
StatusActive
Entity typeOrganization
NPI issuedJan 29, 2021
Last updated in NPPESJan 29, 2021
Certified by providerJan 29, 2021

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general practitioners in Bolingbrook

All general practitioners in Illinois