Healthcare Provider Details

I. General information

NPI: 1891590840
Provider Name (Legal Business Name): DANIEL BOICE APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 MOON LAKE BLVD
HOFFMAN ESTATES IL
60169-1010
US

IV. Provider business mailing address

1624 WAXWING CT
SCHAUMBURG IL
60173-4114
US

V. Phone/Fax

Practice location:
  • Phone: 855-383-2224
  • Fax:
Mailing address:
  • Phone: 224-388-7449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209.035606
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.518922
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: