KARINA J BOUFFARD M.D. NPI 1245491620

NPI Information

NPI: 1245491620
Provider Name: KARINA J BOUFFARD, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

Organization: MEDICAL SERVICES RIC

PECOS Registration: Yes

Address:
980 N MICHIGAN AVE
STE. 800
CHICAGO, IL
ZIP 60611
Phone: (312) 238-7800
Get Directions

Karina J Bouffard, M.D. is a pain medicine physical medicine rehabilitation in Chicago, IL with 18 years of experience. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Karina J Bouffard, M.D. NPI is 1245491620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

980 N MICHIGAN AVE
STE. 800
CHICAGO, IL
ZIP 60611-501
Phone: (312) 238-7800
Fax: (312) 238-7801

The NPI 1245491620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 12/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208100000X	Physical Medicine & Rehabilitation		036-133242	ILLINOIS	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	036-133242	ILLINOIS	No
3	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	036-133242	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036133242-1	MEDICAID	ILLINOIS
2	F400119024	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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