Boehlke, Larry M

Boehlke, Larry M is an sole proprietor health care provider with primary practice located at 676 N St Clair Ste 2140, Chicago IL 60611. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Boehlke, Larry M can be contacted via phone (312) 664-5400.

Contact Information

Primary practice address
676 N St Clair Ste 2140 Chicago IL 60611
Phone: (312) 664-5400
Fax: (312) 664-5854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209002685 Illinois

Profile Details

NPI number 1972575231
LBN Legal business name Boehlke, Larry M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Jun 2nd, 2010 - about 15 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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