Boudeman, John
Boudeman, John is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1379. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Boudeman, John can be contacted via phone (630) 933-6675.Contact Information
Primary practice address
25 N Winfield Rd
Winfield IL 60190-1379
Phone: (630) 933-6675
Fax: (630) 933-2614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036095528 | Illinois |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036095528 | Illinois |
Profile Details
| NPI number | 1609819820 |
|---|---|
| LBN Legal business name | Boudeman, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 17th, 2024 - about 11 months 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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