Provider Demographics
NPI:1851873467
Name:BOYCE, ANDREW PAUL (DC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:PAUL
Last Name:BOYCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 BROOK DR
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1025
Mailing Address - Country:US
Mailing Address - Phone:630-973-8626
Mailing Address - Fax:
Practice Address - Street 1:1426 BROOK DR
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1025
Practice Address - Country:US
Practice Address - Phone:630-973-8626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILSTUDENT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor