Boesen, Thomas P

Boesen, Thomas P is an individual health care provider with primary practice located at 4001 Vollmer Road , Olympia Fields IL 60461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Boesen, Thomas P can be contacted via phone (708) 481-8883.

Contact Information

Primary practice address
4001 Vollmer Road Olympia Fields IL 60461
Phone: (708) 481-8883
Fax: (708) 481-2917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036060738 Illinois

Profile Details

NPI number 1740394089
LBN Legal business name Boesen, Thomas P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Apr 22nd, 2009 - 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 1740394089 NPPES
Illinois MEDICAID 036060738
Illinois Other 160022790

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