Provider Demographics
NPI:1962744037
Name:BOYLE, ELIZABETH ANN (DO)
Entity type:Individual
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First Name:ELIZABETH
Middle Name:ANN
Last Name:BOYLE
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Gender:F
Credentials:DO
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Mailing Address - Street 1:180 HARVESTER DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7594
Mailing Address - Country:US
Mailing Address - Phone:773-702-1150
Mailing Address - Fax:
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:M/C 6060
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-3056
Practice Address - Fax:773-702-0764
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2016-06-08
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Provider Licenses
StateLicense IDTaxonomies
IL0361398182080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine