MEDICARE: PATRICIA M. BOATWRIGHT, M.D., P.C.

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	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1851570212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICIA M. BOATWRIGHT, M.D., P.C.

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	:	OWNER
Name	:	DR. PATRICIA MARY BOATWRIGHT
Credential	:
Telephone Number	:	312-738-0055

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	02/18/2026

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