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DR. KEVIN DALE BOATWRIGHT MD NPI 1740212919


NPI Information

NPI: 1740212919
Provider Name: DR. KEVIN DALE BOATWRIGHT, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
2150 PFINGSTEN RD STE 3000
GLENVIEW, IL
ZIP 60026
Phone: (847) 657-5959
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DR. Kevin Dale Boatwright, MD is an infectious disease internal medicine in Glenview, IL with 25 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. DR. Kevin Dale Boatwright, MD NPI is 1740212919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

2150 PFINGSTEN RD STE 3000
GLENVIEW, IL
ZIP 60026-314
Phone: (847) 657-5959
Fax: (847) 657-5764

The NPI 1740212919 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 7/7/2006 and was last updated on 2/16/2021.


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
1207R00000XInternal Medicine036131723ILLINOISNo
2207RI0200XInternal MedicineInfectious Disease036131723ILLINOISYes

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
1200157944OTHERNORTH CAROLINACORVEL WC
22696737OTHERNORTH CAROLINAUNITED HEALTHCARE
3200157944OTHERNORTH CAROLINAHEALTHCARE SAVINGS
4200157944OTHERNORTH CAROLINATRICARE FOR LIFE
5194228OTHERNORTH CAROLINAMEDCOST
65904223MEDICAIDNORTH CAROLINA
77474886OTHERNORTH CAROLINAAETNA
81508102OTHERNORTH CAROLINACIGNA
9142VXOTHERNORTH CAROLINABCBS
10200157944OTHERNORTH CAROLINAEVOLUTIONS
11DD2526OTHERNORTH CAROLINAPALMETTO GBA
12200157944OTHERNORTH CAROLINASOUTH CARE PPO
13200157944OTHERNORTH CAROLINAKEY RISK WC
14200157944OTHERNORTH CAROLINACOMPCARE
15460264OTHERNORTH CAROLINAWELLPATH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.