Individual
SHIRLEY R BOYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
544 W OAK ST APT 517, CHICAGO, IL 60610-3135
(773) 977-5085
Mailing address
544 W OAK ST APT 517, CHICAGO, IL 60610-3135
(773) 977-5085
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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