Boas, Steven Russell
Boas, Steven Russell is an sole proprietor health care provider with primary practice located at 2401 Ravine Way Ste 302, Glenview IL 60025-7645. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boas, Steven Russell can be contacted via phone (847) 998-3434.Contact Information
Primary practice address
2401 Ravine Way Ste 302
Glenview IL 60025-7645
Phone: (847) 998-3434
Fax: (847) 998-8584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036091411 | Illinois |
Profile Details
| NPI number | 1144227737 |
|---|---|
| LBN Legal business name | Boas, Steven Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Sep 14th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144227737 | NPPES |
| Illinois | MEDICAID | 36091411 |
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