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Larry M Boehlke, NP
Nurse Practitioner in Chicago, Illinois
NPI 1972575231

Larry M Boehlke is a Nurse Practitioner based in Chicago, IL. Larry M Boehlke practices in Chicago, IL and has the professional credentials of NP. The NPI Number for Larry M Boehlke is 1972575231 and holds a License No. 209002685 (Illinois).

The current practice location address for Larry M Boehlke is 676 N St Clair, Chicago, IL and can be reached out via phone at 312-664-5400 and via fax at 312-664-5854.

Location: 676 N St Clair, Chicago, IL, 60673-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972575231
Provider Name
Larry M Boehlke
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
676 N St Clair, Chicago, IL, 60673-0001
Phone Number
312-664-5400
Fax Number
312-664-5854
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
676 N St Clair
City
Chicago
State
Illinois
Zip
60611
Phone Number
312-664-5400
Fax Number
312-664-5854
person
Provider Business Mailing Address Details
Address
676 N St Clair
City
Chicago
State
Illinois
Zip
60611
Phone Number
312-664-5400
Fax Number
312-664-5854
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209002685 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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