Boughton Family Practice PC
NPI #1578986576 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1578986576
- Entity Type
- Organization
- Organization Name
- Boughton Family Practice PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 27, 2014
- Last Updated
- Feb 21, 2019
Practice Location
- Address
- 402 W BOUGHTON RD STE F1
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-1984
- Phone
- (630) 410-2448
Authorized Official
- Name
- GERALD A LOFTHOUSE, MD
- Title
- OWNER
- Phone
- (630) 410-2448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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