Individual
DANIEL BOYLE
Active
Individual
DANIEL BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036130429
IL
207R00000X
Internal Medicine Physician
64190
GA
207RI0200X
Infectious Disease Physician
Primary
036-130429
IL
208M00000X
Hospitalist Physician
64190
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE GROUP
IL
01
—
F400371028
MEDICARE INDIVIDUAL
IL
Enumeration date
06/11/2007
Last updated
05/19/2017
Update your record
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