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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