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
Phone: (630) 617-5444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992717565 | NPPES |
| Illinois | Other | 0001682440 | BLUE CROSS BLUE SHIELD |
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