MEDICARE: DR. DANIEL P BOFFA NP

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
1	363LP2300X	Primary Care Nurse Practitioner	209.019965	IL

General Provider Information

NPI Number	:	1346898616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL P BOFFA NP

Provider Business Mailing Address
First Line	:	7212 FRANKLIN ST
Second Line	:
City	:	FOREST PARK
State	:	IL
Zip	:	60130-1123
Country	:	US
Telephone Number	:	708-288-7784
Fax Number	:

Provider Business Practice Location Address
First Line	:	7212 FRANKLIN ST
Second Line	:
City	:	FOREST PARK
State	:	IL
Zip	:	60130-1123
Country	:	US
Telephone Number	:	708-288-7784
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2019
Last Update Date	:	08/29/2019

Similar Medicare Providers

1174892822 — CLAUDIA BOWMAN
Practice Location Address:

1123 HIGHWAY 35 S
FOREST, MS
39074-8829

Practice Phone: 601-469-4771
Practice Fax: 601-469-4724

1629403704 — COREY L SHOEMAKER
Practice Location Address:

1123 HIGHWAY 35 S
FOREST, MS
39074-8829

Practice Phone: 601-469-4771
Practice Fax:

1427500958 — INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Practice Location Address:

1123 HIGHWAY 35 S STE 3
FOREST, MS
39074-8829

Practice Phone: 601-469-4771
Practice Fax:

1427034453 — DR. RICHARD FRIEDMAN MSW, PHD
Practice Location Address:

1123 PARK AVE , SUITE 1-D
NEW YORK, NY
10128-1241

Practice Phone: 212-289-3592
Practice Fax: 212-289-7626

1295700375 — DR. DEEPAK S MAHAJAN M.D.
Practice Location Address:

38 LAKE DR
NEW HYDE PARK, NY
11040-1123

Practice Phone: 516-627-4577
Practice Fax:

1760541106 — DR. KENNETH CURT MOLKNER MD
Practice Location Address:

114 RIVER PARK DR NW
ATLANTA, GA
30328-1123

Practice Phone: 770-394-8254
Practice Fax: 770-394-8254

Directions to “ DR. DANIEL P BOFFA NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.