Healthcare Provider Details

I. General information

NPI: 1962744037
Provider Name (Legal Business Name): ELIZABETH ANN BOYLE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S. WASHINGTON ST. NICU
NAPERVILLE IL
60540-7430
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-3234
  • Fax: 630-527-3450
Mailing address:
  • Phone: 847-570-2040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number036139818
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: