Individual provider · Type 1 NPI
Michael Boehmer Pine, MD
Cardiovascular Disease Physician · Evanston, IL
NPI number
1184853558
Active
Practice location
1210 Chicago Ave, Ste 503
Evanston, IL 60202-6515
Fax (847) 492-8130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 036075448 (IL) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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About NPI 1184853558
Michael Boehmer Pine, MD's National Provider Identifier is 1184853558, issued on Jul 7, 2009. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Evanston, IL. The record was last updated on Jul 7, 2009.