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NPI Code Detail

MEDICARE: DR. TAMARA BOERS MD

MEDICARE:  DR. TAMARA  BOERS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician036118631IL

General Provider Information

NPI Number : 1225297401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMARA BOERS MD
Provider Business Mailing Address
First Line : 1221 W SCHOOL ST
Second Line : APT #2
City : CHICAGO
State : IL
Zip : 60657-1425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1221 W SCHOOL ST
Second Line : APT #2
City : CHICAGO
State : IL
Zip : 60657-1425
Country : US
Telephone Number : 773-220-6746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 06/03/2008

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Directions to “ DR. TAMARA BOERS MD” Practice Location

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