Brian R. Boulay, MD
Gastroenterology · Chicago, IL
UnclaimedMDNPI 1023103439
- Primary taxonomy
- 207RG0100X
- Enumerated
- 2006-10-03
- Practice location
- Chicago, IL
- Last NPPES update
- 2010-06-03
State licenses
- CA · Physician · NPPES self-reportedListed on NPI record
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- IL · Resident physician · VISITING RESIDENTExpiredthrough 2004
- NH · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.