LARRY M BOEHLKE NP
NPI 1972575231
Nurse Practitioner in Chicago, IL

Active since February 02, 2006
676 N ST CLAIR, STE 2140, CHICAGO, IL 60611(312) 664-5400(312) 664-5854 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry M Boehlke Np NPPES

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

LARRY M BOEHLKE NP (NPI 1972575231) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209002685) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1972575231
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameLARRY M BOEHLKECredential: NP
Location Address676 N ST CLAIR, STE 2140Chicago, IL 60611
Mailing Address25068 Network PlChicago, IL 60673-0001 · (847) 585-7000 · Fax (847) 240-0622
Fax(312) 664-5854
Sole ProprietorYes
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJune 2, 2010
NPI 1972575231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209002685
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
676 N ST CLAIR, Chicago, IL 60611

Other Identifiers 3

Medicare UPINP08186
Medicare PIN218740004IL
Medicare PINP00817006IL

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
676 N ST CLAIR, #1500
CHICAGO, IL 60611
Internal Medicine
676 N ST CLAIR, SUITE 2300
CHICAGO, IL 60611
Clinic/Center (Primary Care)
676 N ST CLAIR, SUITE 2250
CHICAGO, IL 60611
Internal Medicine (Hematology & Oncology)
676 N ST CLAIR, SUITE 2140
CHICAGO, IL 60611
Dermatology
676 N ST CLAIR, SUITE 1725
CHICAGO, IL 60611
Ophthalmology (Glaucoma Specialist)
676 N ST CLAIR, #320
CHICAGO, IL 60611
Obstetrics & Gynecology (Gynecology)
676 N ST CLAIR, STE 1880
CHICAGO, IL 60611
Internal Medicine
676 N ST CLAIR, SUITE 2300
CHICAGO, IL 60611

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 Larry Boehlke's NPI number?

The NPI number for Larry Boehlke is 1972575231. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Larry Boehlke located?

Larry Boehlke practices at 676 N St Clair Ste 2140, Chicago, IL 60611. The listed phone number is (312) 664-5400.

What is Larry Boehlke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Larry Boehlke was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.