Individual
MICHAEL BOERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 REMINGTON BLVD STE G, BOLINGBROOK, IL 60440-3663
(630) 410-9578
(630) 296-0749
Mailing address
215 REMINGTON BLVD STE G, BOLINGBROOK, IL 60440-3663
(630) 410-9578
(630) 296-0749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150113606
IL
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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