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General NPI Number Information
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NPI Number | 1043200165
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Entity Type | Individual
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Provider Name | MARTIN J BOYER D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 800 BIESTERFIELD RD SUITE 110
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City | ELK GROVE VLG
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State | IL
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Zip | 60007-3361
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Country | US
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Telephone | 847-981-5760
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Fax | 847-956-5138
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Provider Business Mailing Address
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Address Line | 700 COMMERCE DR SUITE 500
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City | OAK BROOK
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State | IL
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Zip | 60523-1546
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Country | US
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Telephone | 847-698-0600
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Fax | 847-698-0600
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 036083334
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License Number State | IL
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