Individual
DANIEL BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON, ARKES PAVILION, SUITE 940, CHICAGO, IL 60611-2908
(312) 926-8358
(312) 695-5088
Mailing address
25 N WINFIELD RE, WINFIELD, IL 60190-1295
(630) 933-5518
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
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