Charles K. Boley

NPI #1912126640 in Washington, Illinois

Provider Information

NPI Number: 1912126640
Entity Type: Individual
Name: Charles K. Boley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Apr 24, 2007
Last Updated: Jun 6, 2008

Practice Location

Address: 10 SAINT CLARE CT STE 100
City: Washington
State: Illinois
ZIP Code: 61571-9239
Phone: (309) 886-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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