Individual
SOPHIE ELIZABETH BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2155 CITY GATE LN STE 225, NAPERVILLE, IL 60563-7770
(630) 547-5040
(630) 305-0094
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011110
IL
Other
Enumeration date
02/11/2025
Last updated
03/13/2025
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