Boatwright, Kevin Dale

Boatwright, Kevin Dale is an individual health care provider with primary practice located at 2150 Pfingsten Rd Ste 3000 , Glenview IL 60026-1314. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Boatwright, Kevin Dale can be contacted via phone (847) 657-5959.

Contact Information

Primary practice address
2150 Pfingsten Rd Ste 3000 Glenview IL 60026-1314
Phone: (847) 657-5959
Fax: (847) 657-5764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036131723 Illinois
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036131723 Illinois

Profile Details

NPI number 1740212919
LBN Legal business name Boatwright, Kevin Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740212919 NPPES
North Carolina Other 200157944 KEY RISK WC
North Carolina Other 2696737 KEY RISK WC
North Carolina MEDICAID 5904223 KEY RISK WC
North Carolina Other 200157944 KEY RISK WC
North Carolina Other 200157944 KEY RISK WC
North Carolina Other 200157944 KEY RISK WC
North Carolina Other 194228 KEY RISK WC
North Carolina Other 200157944 KEY RISK WC
North Carolina Other 142VX KEY RISK WC
North Carolina Other 200157944 KEY RISK WC
North Carolina Other 460264 KEY RISK WC
North Carolina Other 7474886 KEY RISK WC
North Carolina Other 200157944 KEY RISK WC
North Carolina Other 1508102 KEY RISK WC
North Carolina Other DD2526 KEY RISK WC

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