THOMAS J. BOYSEN D.P.M. S.C. NPI 1801013057

NPI Information

  • NPI: 1801013057
  • Provider Name: THOMAS J. BOYSEN, D.P.M., S.C.
  • Classification: Clinic/Center - 261QP1100X
  • Specialization: Podiatric
  • Entity Type: Organization
  • Address: 16325 HARLEM AVE
    SUITE 100
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 444-0646

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NPI Details

THOMAS J. BOYSEN, D.P.M., S.C. is a podiatric clinic center in Tinley Park, IL. THOMAS J. BOYSEN, D.P.M., S.C. NPI is 1801013057. The provider is registered as an organization entity type.

The provider's business location address is:

16325 HARLEM AVE
SUITE 100
TINLEY PARK, IL
ZIP 60477-509
Phone: (708) 444-0646
Fax: (708) 444-1506

The provider's authorized official is Thomas James Boysen .
The authorized official title is Owner and has the following contact phone number (708) 444-0646.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 3/3/2008.

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
1261QP1100XClinic/CenterPodiatric016002685ILLINOISYes

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
11336119445OTHERILLINOISNPI NON CORPORATE
2T36917MEDICARE UPINILLINOIS
34735590001MEDICARE NSCILLINOIS
4480029273MEDICARE ID-TYPE UNSPECIFIEDILLINOISRAILROAD MEDICARE
5K37348MEDICARE 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: 11/21/2025

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