Brian Robert Boulay, MD Valid NPI
Individual provider · Gastroenterology Physician · Chicago, IL
- NPI
- 1023103439
- Type
- Individual (Type 1)
- Primary specialty
- Gastroenterology Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RG0100X
- License number
- 036.125568 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-03
- Last updated
- 2010-06-03
Practice location
1740 W Taylor St, Uic Medical Center, Section Of Digestive Diseases
Chicago, IL 60612-0199
(312) 355-4270