DR. DANIEL P BOFFA NP NPI 1346898616

NPI Information

NPI: 1346898616
Provider Name: DR. DANIEL P BOFFA, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
7212 FRANKLIN ST
FOREST PARK, IL
ZIP 60130
Phone: (708) 288-7784
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DR. Daniel P Boffa, NP is a primary care nurse practitioner in Forest Park, IL with 5 years of experience. DR. Daniel P Boffa, NP NPI is 1346898616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7212 FRANKLIN ST
FOREST PARK, IL
ZIP 60130-123
Phone: (708) 288-7784

The NPI 1346898616 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2019 and was last updated on 8/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	209.019965	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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