Individual
MARY BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (EMS BLDG. RM. 2700), MAYWOOD, IL 60153
(708) 327-2700
(708) 327-3474
Mailing address
2160 S FIRST AVE, (EMS BLDG. RM. 2700), MAYWOOD, IL 60153
(708) 327-2700
(708) 327-3474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36064935
IL
208600000X
Surgery Physician
36064935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36064935
—
IL
Enumeration date
01/19/2006
Last updated
06/28/2021
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