Gretchen A Boules in Burr Ridge - Prescribing (medical)
Gretchen A Boules - NPI 1710082474
Gretchen A Boules is a Prescribing (medical) in Burr Ridge, Illinois. Gretchen A Boules practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Gretchen A Boules is 1710082474. The last update date is 2022-02-24.
Gretchen A Boules's current location address is 200 S Frontage Rd Ste 324, Burr Ridge, Illinois. You can contact this provider via phone number 6303219809. The mailing address for Gretchen A Boules is 200 S Frontage Rd Ste 324, Burr Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gretchen A Boules |
|---|---|
| Address | 200 S Frontage Rd Ste 324, Burr Ridge, Illinois |
| Phone Number | 6303219809 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1710082474 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2022-02-24 |
Provider Mailing Address Detail
| Address | 200 S Frontage Rd Ste 324 |
|---|---|
| City | Burr Ridge |
| State | Illinois (IL) |
| Post Code | 605276953 |
| Phone Number | 6303219809 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 74.000005 |
|
Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1621856 | IL | BC BS OF IL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gretchen A Boules by the Centers for Medicare & Medicaid Services?
The Gretchen A Boules has been issued the NPI (National Provider Identifier) 1710082474, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gretchen A Boules is located?
The Gretchen A Boules is situated at the following address: 200 S Frontage Rd Ste 324, Burr Ridge, IL, 605276953.
What is the Gretchen A Boules's area of specialization and corresponding taxonomy classification?
The Gretchen A Boules's specialty field is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their specialties.
When was the Gretchen A Boules's 1710082474 issued?
The Gretchen A Boules's 1710082474 was issued on 2006-09-14.
When was the Gretchen A Boules's information last updated?
The Gretchen A Boules's information was last updated on 2022-02-24.
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