Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Stephen Boutsicaris

Individual provider Internal Medicine Physician · NPI 1164009023

Andrew Stephen Boutsicaris is an Endocrinology in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

420 E Superior St
Chicago, IL 60611-4494
Phone: (312) 926-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 036.167216 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.077394 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164009023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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