Marc H Boff, ATC, PT, DPT, CSCS
Individual provider Active NPI Specialist · Deerfield, IL
NPI 1821065673 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1821065673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 550 Lake Cook Rd
Deerfield, IL 60015-4921 - Phone
- (847) 444-8732
- Fax
- (847) 444-8998
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096-002181 | IL | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Yes |
Addresses
Primary practice location
550 Lake Cook Rd
Deerfield, IL 60015-4921
Mailing address
550 Lake Cook Rd
Deerfield, IL 60015-4921
Phone (847) 444-8732
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.