| Boughton Family Practice Pc | |
|
402 W Boughton Rd Ste F1 Bolingbrook IL 60440-1984 | |
| (630) 410-2448 | |
| (630) 410-8327 |
| Full Name | Boughton Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 402 W Boughton Rd Ste F1, Bolingbrook, Illinois |
| Authorized Official Name and Position | Gerald A Lofthouse (OWNER) |
| Authorized Official Contact | 6304102448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boughton Family Practice Pc Po Box 278 Clarendon Hills IL 60514-0278 Ph: (630) 410-2448 | Boughton Family Practice Pc 402 W Boughton Rd Ste F1 Bolingbrook IL 60440-1984 Ph: (630) 410-2448 |
| NPI Number | 1578986576 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 0648402552 |
|---|---|
| Medicare Enrollment ID | O20140408001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578986576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerald A Lofthouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972551513 PECOS PAC ID: 2062577075 Enrollment ID: I20090206000474 |
Boling Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 899 S Weber Rd, Suite G, Bolingbrook, IL 60490 Phone: 630-226-1800 Fax: 630-226-4226 | |
Associates Of Inpatient Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Remington Blvd, Ste 200, Bolingbrook, IL 60440 Phone: 630-312-7865 | |
Bolingbrook Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 329 Remington Blvd, Ste 100, Bolingbrook, IL 60440 Phone: 630-759-4800 Fax: 630-759-6927 | |
Sabs Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 899 S Weber Rd, Suite A, Bolingbrook, IL 60490 Phone: 630-544-7283 Fax: 708-221-6631 | |
Premier Occupational Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 E Boughton Rd, # 140, Bolingbrook, IL 60440 Phone: 630-972-0733 | |
Presence Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440 Phone: 630-914-2468 | |
Medical Home Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 167 W Boughton Rd Ste C, Bolingbrook, IL 60440 Phone: 331-871-6674 |