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General NPI Number Information
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NPI Number | 1851570212
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Entity Type | Organization
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Legal Business Name | PATRICIA M. BOATWRIGHT, M.D., P.C.
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 331 W SURF ST STE 711
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City | CHICAGO
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State | IL
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Zip | 60657-7227
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Country | US
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Telephone | 312-738-0055
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Fax | 773-665-8288
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Provider Business Mailing Address
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Address Line | 331 W SURF ST STE 711
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City | CHICAGO
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State | IL
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Zip | 60657-7227
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Country | US
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Telephone | 312-738-0055
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Fax | 773-665-8288
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICIA MARY BOATWRIGHT
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Credential |
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Telephone | 312-738-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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