Active NPI
Thomas Boyle, D.O.
- Emergency Medicine Physician
- Chicago Heights, IL
National Provider Identifier
1538196787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-08169
- Practice address
- 1423 Chicago Rd
Chicago Heights, IL 60411-3400 - Phone
- (708) 756-1000
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-08169 | IL | Primary |
Addresses
Primary practice location
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Mailing address
555 W Court St
Kankakee, IL 60901-3675
Phone (888) 828-3192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4622394 | Other | BLUE CROSS |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-08169 | IL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1538196787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W COURT ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013675",
"telephone_number": "888-828-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CHICAGO RD",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604113400",
"telephone_number": "708-756-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-08169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4622394",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.