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YANIS BOUMBER MD NPI 1780870428


NPI Information

NPI: 1780870428
Provider Name: YANIS BOUMBER, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Organization: NORTHWESTERN MEDICAL FACULTY FOUNDATION

PECOS Registration: Yes

Address:
676 N SAINT CLAIR ST STE 850
CHICAGO, IL
ZIP 60611
Phone: (312) 695-6180
Get Directions

Yanis Boumber, MD is a hematology and oncology internal medicine in Chicago, IL with 25 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Yanis Boumber, MD NPI is 1780870428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

676 N SAINT CLAIR ST STE 850
CHICAGO, IL
ZIP 60611-124
Phone: (312) 695-6180
Fax: (312) 695-6189

The NPI 1780870428 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 9/17/2007 and was last updated on 2/10/2020.


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
1207RX0202XInternal MedicineMedical OncologyMD449281PENNSYLVANIANo
2207RX0202XInternal MedicineMedical OncologyMD2015-0521NEW MEXICONo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207RH0003XInternal MedicineHematology & Oncology036151765ILLINOISYes

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

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.