Whalio Doctors

NPI 1003862806

Jeffrey Marc Boorstein, MD

Practitioner Diagnostic Radiology Physician Decatur, IL

Practice location

Address
2300 N Edward St, Decatur, IL 62526-4163
Phone
(217) 876-2300
Fax
(217) 876-6725

Registered specialties (2)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X
Neuroradiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085N0700X

Registry record

NPI
1003862806
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 May 2006
Record last updated
17 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.