MEDICARE: DR. PATRICIA MARY BOATWRIGHT M.D.,

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
1	207V00000X	Obstetrics & Gynecology Physician	36-3632106	IL

General Provider Information

NPI Number	:	1437228186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA MARY BOATWRIGHT M.D.,

Provider Business Mailing Address
First Line	:	331 W SURF ST STE 711
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-7227
Country	:	US
Telephone Number	:	312-738-0055
Fax Number	:	773-665-8288

Provider Business Practice Location Address
First Line	:	331 W SURF ST STE 711
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-7227
Country	:	US
Telephone Number	:	312-738-0055
Fax Number	:	773-665-8288

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	02/18/2026

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