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

Dr. Kevin Boubouleix

Individual provider Emergency Medicine Physician · NPI 1013578475

Dr. Kevin Boubouleix is an Emergency Medicine in Chicago, Illinois. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2019, 7 years ago. Practices with Clarksville Emergency Group PC, a 152-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

1969 W Ogden Ave
Chicago, IL 60612-3765
Phone: (312) 864-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125074524 (IL)

Record details

NPI number1013578475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2019
Last updated in NPPESJune 26, 2019
Mailing address2108 N Winchester Ave # 3, Chicago, IL 60614-3915

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Clarksville Emergency Group Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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