Individual
DR. MICHAEL BOEHMER PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 CHICAGO AVE, STE 503, EVANSTON, IL 60202-6515
(847) 492-0162
(847) 492-8130
Mailing address
1210 CHICAGO AVE, STE 503, EVANSTON, IL 60202-6515
(847) 492-0162
(847) 492-8130
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036075448
IL
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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