John Albert Boyd
Individual provider Active NPI Counselor · Shiloh, IL
NPI 1447798673 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1447798673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 124 Eden Park Blvd
Shiloh, IL 62269-2996 - Phone
- (815) 978-3629
- NPI assigned
- Feb 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Community Counseling | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
124 Eden Park Blvd
Shiloh, IL 62269-2996
Mailing address
124 Eden Park Blvd
Shiloh, IL 62269-2996
Phone (815) 978-3629
Other providers in Shiloh, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.