Individual provider · Type 1 NPI
Larry M. Boehlke, NP
Nurse Practitioner · Chicago, IL
Practice location
676 N St Clair, Ste 2140
Chicago, IL 60611
Fax (312) 664-5854
Mailing address
25068 Network Pl
Chicago, IL 60673-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209002685 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1972575231
Larry M. Boehlke, NP's National Provider Identifier is 1972575231, issued on Feb 2, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 2, 2010.