Kenneth M Boyer
Pediatrician Pediatric Infectious Diseases
1725 W Harrison St Suite 710
Chicago
, Illinois 60612-3841
Kenneth M Boyer
Pediatrician Pediatric Infectious Diseases
1725 W Harrison St Suite 710
Chicago
, Illinois 60612-3841
(312) 942-3034
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Kenneth M Boyer
- 1725 W Harrison St Suite 710
- Chicago, IL
- Zip : 60612-3841
- Phone : (312) 942-3034
Second Address
- Kenneth M Boyer
- 1725 W Harrison St Suite 710
- Chicago, IL
- Zip : 60612-3841
- Phone : (312) 942-3034
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 036-055224 | IL |
| Y | 2080P0208X | Pediatric Infectious Diseases | 036-055224 | IL |
National Provider Identifier
| NPI | 1003847393 |
|---|---|
| Provider Name | Kenneth M Boyer |
| First Address | Chicago, IL 60612-3841 |
| Second Address | Chicago, IL 60612-3841 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 14/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D13349 | (02) | IL |
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.