Individual
JENNIFER S O'BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 READ ST, LOCKPORT, IL 60441-3265
(815) 838-7965
(815) 838-8011
Mailing address
300 READ ST, LOCKPORT, IL 60441-3265
(815) 838-7965
(815) 838-8011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085000979
STATE LICENSE
IL
Enumeration date
05/18/2007
Last updated
04/29/2025
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