Individual ProviderGeorge BoychevRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Maywood, IL 60153-3328(708) 216-9000PECOS EnrollmentBased on the most recent information from CMS, provider George Boychev is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1295294015Provider TypeIndividualFull NameBoychev, GeorgeTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date3/19/2019Last Updated6/20/2024Contact InformationPractice LocationPractice Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-9000Fax(708) 216-0899Mailing LocationMailing Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-9000Fax(708) 216-0899Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense036166961IllinoisCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense125073695IllinoisCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125073695Illinois