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Contact Information

VINCENT BOSTON, MD
100 MEDICAL PLZ
LAKE SAINT LOUIS, MO63367-1366
 Phone: 636-625-5200
 Fax: 636-625-5314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for VINCENT BOSTON · (Male)

NPI Number 1134572340
Status Active
Credentials MD
Entity Individual
Enumeration date 07/22/2016
Last updated 11/17/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036151193
  • IN License # 01089795A
  • MO License # 2018010703
Hospital affiliation(s)
  • BLESSING HOSPITAL - (Acute Care)
    BROADWAY AT 11TH STREET
    QUINCY, IL 62301
  • GOOD SAMARITAN REGIONAL HEALTH CENTER - (Acute Care)
    1 GOOD SAMARITAN WAY
    MOUNT VERNON, IL 62864
  • SAINT ANTHONY MEDICAL CENTER - (Acute Care)
    5666 EAST STATE STREET
    ROCKFORD, IL 61108
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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