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Contact Information

JOSEPH T BOUTET, PA-C
259 E ERIE ST FL 13
CHICAGO, IL60611-3926
 Phone: 312-695-6800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOSEPH T BOUTET · (Male)

NPI Number 1033369343
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/23/2008
Last updated 01/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-003282
Hospital affiliation(s)
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
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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