Jacque Arlin Boutwell in Chicago - Surgical Assistant
Jacque Arlin Boutwell - NPI 1013062405
Jacque Arlin Boutwell is a Surgical Assistant in Chicago, Illinois. Jacque Arlin Boutwell practices all healthcare services and medical treatments related to Surgical Assistant. The NPI Number for Jacque Arlin Boutwell is 1013062405. The last update date is 2014-11-25.
Jacque Arlin Boutwell's current location address is 5146 Reliable Pkwy, Chicago, Illinois. You can contact this provider via phone number 5742147504 and fax number 5742623214. The mailing address for Jacque Arlin Boutwell is 5146 Reliable Pkwy, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacque Arlin Boutwell |
|---|---|
| Address | 5146 Reliable Pkwy, Chicago, Illinois |
| Phone Number | 5742147504 |
| Fax Number | 5742623214 |
| Sole Proprietor | N |
| Credentials | CFA |
NPI Number Detail
| NPI Number | 1013062405 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2014-11-25 |
Provider Mailing Address Detail
| Address | 5146 Reliable Pkwy |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606860001 |
| Phone Number | 5742147504 |
| Fax Number | 5742623214 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Assistant |
|---|---|
| Taxonomy | 246Zc0007X |
|
Definition: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, c |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 577411 | IN | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacque Arlin Boutwell by the Centers for Medicare & Medicaid Services?
The Jacque Arlin Boutwell has been assigned the NPI (National Provider Identifier) 1013062405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jacque Arlin Boutwell is geographically located?
The Jacque Arlin Boutwell is physically situated at the following location: 5146 Reliable Pkwy, Chicago, IL, 606860001.
What is Jacque Arlin Boutwell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacque Arlin Boutwell is Surgical Assistant, and the corresponding taxonomy classification code for this specialized field is 246Zc0007X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013062405 to Jacque Arlin Boutwell?
The Centers for Medicare & Medicaid Services originally issued the 1013062405 to Jacque Arlin Boutwell on 2007-01-24.
When was the Jacque Arlin Boutwell's information last updated?
The Jacque Arlin Boutwell's information was last updated on 2014-11-25.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH