Organization
K A BOATENG MD FACOG PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWABENA A BOATENG MD (PHYSICIAN)
(815) 553-0500
Entity
Organization
Contact information
Practice address
2000 GLENWOOD AVE, LOWER LEVEL EAST, JOLIET, IL 60435-5676
(815) 553-0500
(815) 553-0505
Mailing address
2000 GLENWOOD AVE, LOWER LEVEL EAST, JOLIET, IL 60435-5676
(815) 553-0500
(815) 553-0505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Enumeration date
03/26/2007
Last updated
03/27/2008
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