Boyle, Mary

Boyle, Mary is an individual health care provider with primary practice located at 2160 S First Ave (Ems Bldg. Rm. 2700), Maywood IL 60153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Boyle, Mary can be contacted via phone (708) 327-2700.

Contact Information

Primary practice address
2160 S First Ave (Ems Bldg. Rm. 2700) Maywood IL 60153
Phone: (708) 327-2700
Fax: (708) 327-3474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36064935 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36064935 Illinois

Profile Details

NPI number 1982684577
LBN Legal business name Boyle, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jun 28th, 2021 - about 5 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 1982684577 NPPES
Illinois MEDICAID 36064935

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