BOUGHTON FAMILY PRACTICE PC

BOLINGBROOK, IL
NPI1578986576
Entity TypeOrganization
Authorized ContactGERALD A LOFTHOUSE
Owner
630-410-2448
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2014-01-27
Last Update Date2019-02-21
Business Address
BOUGHTON FAMILY PRACTICE PC
402 W BOUGHTON RD STE F1
BOLINGBROOK, IL 60440-1984
Phone number: 630-410-2448
Mailing Address
BOUGHTON FAMILY PRACTICE PC
PO BOX 278
CLARENDON HILLS, IL 60514-0278
Phone number: 630-410-2448