Provider Demographics
NPI:1447408174
Name:O'BOYE, MARIE C (RN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:C
Last Name:O'BOYE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13213 TIGER LILY LN
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-6772
Mailing Address - Country:US
Mailing Address - Phone:815-577-9320
Mailing Address - Fax:
Practice Address - Street 1:13213 TIGER LILY LN
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-6772
Practice Address - Country:US
Practice Address - Phone:815-577-9320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-261664163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse