Individual provider · Type 1 NPI
John J. Boeren, MD
General Practice Physician · Belleville, IL
NPI number
1376530949
Active
Practice location
311 W Lincoln St, Suite 300
Belleville, IL 62220-1902
Fax (618) 234-5650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: 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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About NPI 1376530949
John J. Boeren, MD's National Provider Identifier is 1376530949, issued on Sep 29, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Belleville, IL. The record was last updated on Jul 13, 2026.