K a Boateng MD Facog PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

K A BOATENG MD FACOG PC

Practice address

2000 Glenwood Ave
Lower Level East
Joliet, IL 60435-5676

Phone

(815) 553-0500

Fax

(815) 553-0505

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kwabena A Boateng, MDNPI 1639215312

Title

Physician

Phone

(815) 553-0500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kwabena A Boateng, MD

  • Obstetrics & Gynecology Physician
  • Peoria, IL
  • NPI 1639215312
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1821116468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GLENWOOD AVE",
            "address_2": "LOWER LEVEL EAST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355676",
            "telephone_number": "815-553-0500",
            "fax_number": "815-553-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GLENWOOD AVE",
            "address_2": "LOWER LEVEL EAST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355676",
            "telephone_number": "815-553-0500",
            "fax_number": "815-553-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K A BOATENG MD FACOG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-553-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JT Care LLC
• Oscar Jude, P.T.
• Julia Perine SLP LLC
• Jumpstart Development Inc
• Susan Jungels, LCPC
• Nour Kabbani, M.D.
• Sarah A. Kaczmarski, COTA
• Cynthia M. Kadela, D.C.
• Yasmeen A Kagalwalla, MD
• Jacqueline Kagan

• Obstetrics & Gynecology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.