Organization
THOMAS J. BOYSEN, D.P.M., S.C.
Active
Organization
THOMAS J. BOYSEN, D.P.M., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES BOYSEN D.P.M. (OWNER)
(708) 444-0646
Entity
Organization
Contact information
Practice address
16325 HARLEM AVE, SUITE 100, TINLEY PARK, IL 60477-2509
(708) 444-0646
(708) 444-1506
Mailing address
16325 HARLEM AVE, SUITE 100, TINLEY PARK, IL 60477-2509
(708) 444-0646
(708) 444-1506
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
016002685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336119445
NPI NON CORPORATE
IL
Enumeration date
04/19/2007
Last updated
03/03/2008
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