Individual provider Active NPI

Kathryn S McGahan Boyle, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1023879855
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010284 Issued in IL
Practice address
1458 E Chicago Ave
Naperville, IL 60540-5915
Phone
(630) 360-1710
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010284 IL Primary

Addresses

Primary practice location

1458 E Chicago Ave
Naperville, IL 60540-5915

Mailing address

1362 Green Trails Dr
Naperville, IL 60540-7031
Phone (630) 360-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010284ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Health and Physical Therapy Center SC PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1023879855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 GREEN TRAILS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407031",
            "telephone_number": "630-360-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 E CHICAGO AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405915",
            "telephone_number": "630-360-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAHAN BOYLE",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.