Brian Robert Boulay
Gastroenterologist
1740 W Taylor St Uic Medical Center, Section Of Digestive Diseases
Chicago
, Illinois 60612-0199
Brian Robert Boulay
Gastroenterologist
1740 W Taylor St Uic Medical Center, Section Of Digestive Diseases
Chicago
, Illinois 60612-0199
(802) 356-7432
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Brian Robert Boulay
- 3920 N Sheridan Rd Apt 504
- Chicago, IL
- Zip : 60613-5493
- Phone : (802) 356-7432
Second Address
- Brian Robert Boulay
- 1740 W Taylor St Uic Medical Center, Section Of Digestive Diseases
- Chicago, IL
- Zip : 60612-0199
- Fax : (312) 996-5103
- Phone : (312) 355-4270
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FAQs
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Is Brian Robert Boulay a sole practitioner?
Is Brian Robert Boulay accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 036.125568 | IL |
| N | 207RG0100X | Gastroenterologist | 13031 | NH |
| N | 207RG0100X | Gastroenterologist | A107914 | CA |
National Provider Identifier
| NPI | 1023103439 |
|---|---|
| Provider Name | Brian Robert Boulay |
| First Address | Chicago, IL 60613-5493 |
| Second Address | Chicago, IL 60612-0199 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 03/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.