John J Boeren in Belleville - General Practice
John J Boeren - NPI 1376530949
John J Boeren is a General Practice in Belleville, Illinois. John J Boeren practices all healthcare services and medical treatments related to General Practice. The NPI Number for John J Boeren is 1376530949. The last update date is 2007-07-08.
John J Boeren's current location address is 311 W Lincoln St, Belleville, Illinois. You can contact this provider via phone number 6182342566 and fax number 6182345650. The mailing address for John J Boeren is 311 W Lincoln St, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John J Boeren |
|---|---|
| Address | 311 W Lincoln St, Belleville, Illinois |
| Phone Number | 6182342566 |
| Fax Number | 6182345650 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376530949 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 311 W Lincoln St |
|---|---|
| City | Belleville |
| State | Illinois (IL) |
| Post Code | 622201902 |
| Phone Number | 6182342566 |
| Fax Number | 6182345650 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150523 | UNITED HEALTHCARE | ||
| 8215273 | BCBS IL | ||
| 117951 | HEALTHLINK | ||
| 127868 | BCBS MO | ||
| 80015974 | RR MEDICARE | ||
| 166403 | GROUP HEALTH PLAN | ||
| 5648285 | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John J Boeren by the Centers for Medicare & Medicaid Services?
The John J Boeren has been issued the NPI (National Provider Identifier) 1376530949 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John J Boeren is physically located?
The John J Boeren is physically situated at the following address: 311 W Lincoln St, Belleville, IL, 622201902.
What is the area of specialization for John J Boeren, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John J Boeren is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376530949 to John J Boeren?
The Centers for Medicare & Medicaid Services originally issued the 1376530949 to John J Boeren on 2005-09-29.
As of what date was the information pertaining to John J Boeren, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John J Boeren, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1528061710
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