Individual
KIA S BOXLEY-GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19550 GOVERNORS HWY, FLOSSMOOR, IL 60422-2125
(708) 915-8415
Mailing address
19550 GOVERNORS HWY, FLOSSMOOR, IL 60422-2125
(708) 915-8415
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036101956
IL
207Q00000X
Family Medicine Physician
036101956
IL
207V00000X
Obstetrics & Gynecology Physician
036101956
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101956
—
IL
Enumeration date
09/01/2006
Last updated
05/15/2026
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