MEDICARE: MS. ANABEL MARIE BOYCE MSED

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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1780807453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANABEL MARIE BOYCE MSED

Provider Business Mailing Address
First Line	:	10023 S CAMPBELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-1065
Country	:	US
Telephone Number	:	773-844-1059
Fax Number	:	773-238-5043

Provider Business Practice Location Address
First Line	:	10023 S CAMPBELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-1065
Country	:	US
Telephone Number	:	773-844-1059
Fax Number	:	773-238-5043

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

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/08/2007

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