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BOFFA MEDICAL GROUP LLC NPI 1689687527


NPI Information

NPI: 1689687527
Provider Name: BOFFA MEDICAL GROUP LLC

Doing Business As: BOFFA SURGICAL GROUP, LLC

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
5140 N CALIFORNIA AVE
SUITE 780
CHICAGO, IL
ZIP 60625
Phone: (773) 273-6810
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BOFFA MEDICAL GROUP LLC is a surgery in Chicago, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BOFFA MEDICAL GROUP LLC NPI is 1689687527. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Boffa Surgical Group, Llc.

The provider's business location address is:

5140 N CALIFORNIA AVE
SUITE 780
CHICAGO, IL
ZIP 60625-645
Phone: (773) 273-6810
Fax: (773) 273-5532

The provider's authorized official is James Frank Boffa .
The authorized official title is Partner and has the following contact phone number (773) 273-6810.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 9/28/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086X0206XSurgerySurgical OncologyILLINOISNo
2208600000XSurgeryILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203198MEDICARE PINILLINOIS
2686000MEDICARE PINILLINOIS
30001630046OTHERILLINOISBCBS OF IL GROUP NUMBER
4CK4266MEDICARE PINILLINOIS

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: 4/28/2024

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