Dr Carlos M Boileve, DC | |
1866 Sheridan Rd Ste 317, Highland Park, IL 60035-2546 | |
(847) 266-0960 | |
(847) 266-0961 |
Full Name | Dr Carlos M Boileve |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1866 Sheridan Rd Ste 317, Highland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639275506 | NPI | - | NPPES |
04927913 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038-0004203 (Illinois) | Primary |
Provider Name | Joint & Spine Rehabilitation Of Northern Illinois |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770611386 PECOS PAC ID: 8628150885 Enrollment ID: O20080125000643 |
Mailing Address | Practice Location Address |
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Dr Carlos M Boileve, DC 1866 Sheridan Rd Ste 317, Highland Park, IL 60035-2546 Ph: (847) 266-0960 | Dr Carlos M Boileve, DC 1866 Sheridan Rd Ste 317, Highland Park, IL 60035-2546 Ph: (847) 266-0960 |
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