| Boughton Family Practice PC | |
|
402 W Boughton Rd Ste F1 Bolingbrook IL 60440-1984 | |
| (630) 410-2448 | |
| (630) 410-8327 |
| Full Name | Boughton Family Practice PC |
|---|---|
| Speciality | Family Medicine |
| Location | 402 W Boughton Rd Ste F1, Bolingbrook, Illinois |
| Authorized Official Name and Position | Gerald a Lofthouse (OWNER) |
| Authorized Official Contact | 6304102448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boughton Family Practice PC Po Box 278 Clarendon Hills IL 60514-0278 Ph: (630) 410-2448 | Boughton Family Practice PC 402 W Boughton Rd Ste F1 Bolingbrook IL 60440-1984 Ph: (630) 410-2448 |
| NPI Number | 1578986576 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 02/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578986576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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