Boutsicaris, Andrew Stephen

Boutsicaris, Andrew Stephen is an sole proprietor health care provider with primary practice located at 420 E Superior St , Chicago IL 60611-4494. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Boutsicaris, Andrew Stephen can be contacted via phone (312) 926-2000.

Contact Information

Primary practice address
420 E Superior St Chicago IL 60611-4494
Phone: (312) 926-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.077394 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036.167216 Illinois

Profile Details

NPI number 1164009023
LBN Legal business name Boutsicaris, Andrew Stephen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2021
Last updated Jun 27th, 2024 - about 2 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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