Individual
JERREL H BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 N HALSTED ST STE 509, CHICAGO, IL 60657-5194
(773) 629-6666
(737) 296-9999
Mailing address
3000 N HALSTED ST STE 509, CHICAGO, IL 60657-5194
(773) 629-6666
(737) 296-9999
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
02714
KY
207T00000X
Neurological Surgery Physician
Primary
036-125876
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64034762
—
KY
Enumeration date
11/13/2006
Last updated
01/31/2022
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