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K A BOATENG MD FACOG PC NPI 1821116468


NPI Information

NPI: 1821116468
Provider Name: K A BOATENG MD FACOG PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2000 GLENWOOD AVE
LOWER LEVEL EAST
JOLIET, IL
ZIP 60435
Phone: (815) 553-0500
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K A BOATENG MD FACOG PC is an obstetrics gynecology in Joliet, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. K A BOATENG MD FACOG PC NPI is 1821116468. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2000 GLENWOOD AVE
LOWER LEVEL EAST
JOLIET, IL
ZIP 60435-676
Phone: (815) 553-0500
Fax: (815) 553-0505

The provider's authorized official is Kwabena A Boateng .
The authorized official title is Physician and has the following contact phone number (815) 553-0500.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 3/27/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyILLINOISYes

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
1205993MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2F32971MEDICARE UPINILLINOIS

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

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