Boudro, Stephen William

Boudro, Stephen William is an sole proprietor health care provider with primary practice located at 287 W Butterfield Rd , Elmhurst IL 60126-5037. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Boudro, Stephen William can be contacted via phone (630) 617-5444.

Contact Information

Primary practice address
287 W Butterfield Rd Elmhurst IL 60126-5037
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X Illinois

Profile Details

NPI number 1992717565
LBN Legal business name Boudro, Stephen William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1992717565 NPPES
Illinois Other 0001682440 BLUE CROSS BLUE SHIELD

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