Individual
MR. ALLAN BOQUIREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
4505 S DREXEL BLVD, CHICAGO, IL 60653-4301
(773) 285-0550
Mailing address
222 E PEARSON ST APT 1402, CHICAGO, IL 60611-7419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015304
IL
Other
Enumeration date
12/20/2016
Last updated
10/15/2020
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