Individual
MICHAEL W BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 E OGDEN AVE, STE 201, NAPERVILLE, IL 60563-8609
(630) 369-4550
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036101048
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101048
—
IL
Enumeration date
08/09/2005
Last updated
08/04/2023
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