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Charles K. Boley
Pediatrics Physician in Washington, Illinois
NPI 1912126640

Charles K. Boley is a Pediatrics Physician based in Washington, IL. Charles K. Boley practices in Washington, IL. The NPI Number for Charles K. Boley is 1912126640 and holds a License No. 036-115574 (Illinois).

The current practice location address for Charles K. Boley is 10 Saint Clare Ct Ste 100, Washington, IL and can be reached out via phone at 309-886-4000 and via fax at 309-886-4118.

Location: 10 Saint Clare Ct Ste 100, Washington, IL, 61571-9239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912126640
Provider Name
Charles K. Boley
Credential
Provider Entity Type
Individual
Gender
Male
Address
10 Saint Clare Ct Ste 100, Washington, IL, 61571-9239
Phone Number
309-886-4000
Fax Number
309-886-4118
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00401636 01 RR MEDICARE
833230 01 833230 - PONTIAC GROUP #
CA4079 01 RR GROUP
036115574 05 IL
institution
Provider Business Practice Location Address Details
Address
10 Saint Clare Ct Ste 100
City
Washington
State
Illinois
Zip
61571-9239
Phone Number
309-886-4000
Fax Number
309-886-4118
person
Provider Business Mailing Address Details
Address
10 Saint Clare Ct Ste 100
City
Washington
State
Illinois
Zip
61571-9239
Phone Number
309-886-4000
Fax Number
309-886-4118
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036-115574 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036-115574 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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