Individual
DR. KEVIN DALE BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 PFINGSTEN RD STE 3000, GLENVIEW, IL 60026-1314
(847) 657-5959
(847) 657-5764
Mailing address
2150 PFINGSTEN RD STE 3000, GLENVIEW, IL 60026-1314
(847) 657-5959
(847) 657-5764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036131723
IL
207RI0200X
Infectious Disease Physician
Primary
036131723
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142VX
BCBS
NC
01
—
1508102
CIGNA
NC
01
—
194228
MEDCOST
NC
01
—
200157944
KEY RISK WC
NC
01
—
2696737
UNITED HEALTHCARE
NC
01
—
460264
WELLPATH
NC
05
—
5904223
—
NC
01
—
7474886
AETNA
NC
01
—
DD2526
PALMETTO GBA
NC
Enumeration date
07/07/2006
Last updated
02/16/2021
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