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DR. PHILLIP A. BOCH D.O.
NPI 1699767186
Family Medicine in Berwyn, IL

Active since August 19, 2005
6320 CERMAK RD, BERWYN, IL 60402(708) 749-3777 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Phillip A. Boch D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP A. BOCH D.O. (NPI 1699767186) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036-054799) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1699767186
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILLIP A. BOCHCredential: D.O.
Location Address6320 CERMAK RDBerwyn, IL 60402-2812
Mailing Address6320 Cermak RdBerwyn, IL 60402-2812 · (708) 749-3777
Phone(708) 749-3777
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateDecember 6, 2010
✔ NPI 1699767186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-054799
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6320 CERMAK RD, Berwyn, IL 60402
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Other Identifiers 7

Medicare PINIL4031001IL
Other4656516IL · Aetna
Other363033456IL · Federal Tax Id
Other9530608003IL · Cigna
Other120001237IL · Railroad Medicare
Other21607418IL · Blue Cross Blue Shield Id
Medicare UPIND13210IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Boch's NPI number?

The NPI number for Phillip Boch is 1699767186. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Phillip Boch located?

Phillip Boch practices at 6320 Cermak Rd, Berwyn, IL 60402. The listed phone number is (708) 749-3777.

What is Phillip Boch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Phillip Boch was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.