KELLY J BOYLE (NPI# 1790294684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790294684 |
| Entity Type | Individual |
| Full Name | KELLY J BOYLE |
| Credential | PA-C |
| Practice Address |
4885 Hoffman Blvd Ste 407 Hoffman Estates IL 60192-3726 |
| Mailing Address |
Po Box 3376 Barrington IL 60011-3376 |
| Practice Telephone | 2244840183 |
| Practice Fax Number | 2246999301 |
| Mailing Telephone | 2244840183 |
| Mailing Fax Number | 2246999301 |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 085006307 | IL | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085.006307 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633839 | Kelly Boyle | Counselor | 230 S Dixie Hwy Ste 102, Lake Worth, FL 33460-4154 | 2020-09-10 |
| 1801282280 | Kelly Ann Boyle | Student in an Organized Health Care Education/Training Program | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-04-12 |
| 1225326655 | Kelly Erin Boyle | Counselor | 2370 Grande Vista Pl, Oakland, CA 94601-1351 | 2011-07-19 |
| Street Address |
4885 HOFFMAN BLVD STE 407 |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60192-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184919508 | James Lassiter Quertermous | Dermatology | 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205202009 | Premier Health Consultants Inc | Internal Medicine | 2815 Forbs Avenue Suite 107, Hoffman Estates, IL 60192 | 2015-08-15 |
| 1235536350 | Naomi Lockett | Nurse Practitioner | 2815 Forbs Ave Ste 134, Hoffman, IL 60192 | 2014-12-04 |
| 1548693229 | Kathryn Kmiecik | Counselor | 1595 Chesapeake Drive, Hoffman Estates, IL 60192 | 2013-08-16 |
| 1760692347 | Alan S Panares | Specialist/Technologist, Other | 1245 Mallard Ln, Hoffman Estates, IL 60192 | 2007-05-23 |
| 1518172576 | William John Becker | Dentist | 2630 New Sutton Rd, Hoffman Estates, IL 60192 | 2007-05-13 |
| 1144384306 | Kenneth L Kite | Dentist | 1722 W Algonquin Road, Hoffman Estates, IL 60192 | 2006-12-21 |
| 1760577142 | Elizabeth A. Doyle | Counselor | 3530 Winston Drive, Hoffman Estates, IL 60192 | 2006-10-03 |
| 1558317230 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1489 Palatine Rd, Hoffman Estates, IL 60192 | 2006-05-25 |
| 1659517704 | Merit Center for Sleep Health of Prairie Stone, LLC | Clinic/Center | 4885 Hoffman Blvd, Suite 450, Hoffman Estates, IL 60192 | 2008-12-19 |
| 1265865950 | Soojin Jun | Pharmacist | 4469 Huntington Blvd, Hoffman Estates, IL 60192-1001 | 2013-08-16 |
| Find all providers in zip 60192 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902969231 | Leigh A. Ruelo | Physician Assistant | 1786 Moon Lake Blvd., Suite #100, Hoffman Estates, IL 60169-1016 | 2006-12-18 |
| 1770518615 | Vanessa Lynn Dybala | Physician Assistant | 1786 Moon Lake Blvd Ste 100, Hoffman Estates, IL 60169-1016 | 2006-07-11 |
| 1114469715 | Jennifer Oshea | Physician Assistant | 1555 Barrington Rd, Dob 3 Suite4100, Hoffman Estates, IL 60169-1019 | 2016-11-14 |
| 1548661432 | Melissa Estes | Physician Assistant | 1721 Moon Lake Blvd Ste 100, Hoffman Estates, IL 60169-5700 | 2014-09-10 |
| 1356616288 | Gurmukh Singh | Physician Assistant | 1585 Barrington Rd, Doctors Bldg 2 - Suite 501, Hoffman Estates, IL 60169-1090 | 2012-03-10 |
| 1902006687 | Jason Radke | Physician Assistant | 1585 Barrington Rd, Suite 505, Hoffman Estates, IL 60169-1090 | 2007-07-20 |
| 1235257031 | Andrea Hayden | Physician Assistant | 1555 Barrington Rd, Suite 3450, Hoffman Estates, IL 60194-1019 | 2007-03-27 |
| 1932110368 | Lucinda A. Torgerson | Physician Assistant | 1721 Moon Lake Blvd, Suite 150, Hoffman Estates, IL 60169-1069 | 2006-08-10 |
| 1891720868 | Peter C. Schorr | Physician Assistant | 4885 Hoffman Blvd, Suite 400, Hoffman Estates, IL 60192-3726 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60192 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.