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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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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