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1013578475
KEVIN BOUBOULEIX
CHICAGO, IL
NPI
1013578475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125074524)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
Dr. KEVIN BOUBOULEIX
1969 W OGDEN AVE
CHICAGO, IL 60612-3765
Phone number: 312-864-6000
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Mailing Address
Dr. KEVIN BOUBOULEIX
2108 N WINCHESTER AVE # 3
CHICAGO, IL 60614-3915
Phone number: 847-542-2688
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