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NPI Code Detail

MEDICARE: DR. MARTIN J BOYER D.O.

MEDICARE: DR. MARTIN J BOYER D.O.
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
12085R0001XRadiation Oncology Physician036083334IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1558620004OTHERILMEDICARE PTAN
2920005272OTHERILRAILROAD MEDICARE
3920005581OTHERILRAILROAD MEDICARE
4778401002OTHERILMEDICARE PTAN
5920005573OTHERILRAILROAD MEDICARE
7920002862OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043200165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN J BOYER D.O.
Provider Business Mailing Address
First Line : 700 COMMERCE DR
Second Line : SUITE 500
City : OAK BROOK
State : IL
Zip : 60523-1546
Country : US
Telephone Number : 847-698-0600
Fax Number : 847-698-0600
Provider Business Practice Location Address
First Line : 800 BIESTERFIELD RD
Second Line : SUITE 110
City : ELK GROVE VLG
State : IL
Zip : 60007-3361
Country : US
Telephone Number : 847-981-5760
Fax Number : 847-956-5138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 12/27/2021

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