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

Dr. Michael Boehmer Pine, MD

Individual provider Cardiovascular Disease Physician · NPI 1184853558

Dr. Michael Boehmer Pine, MD is a Cardiovascular Disease Physician in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1210 Chicago Ave Ste 503
Evanston, IL 60202-6515
Phone: (847) 492-0162
Fax: (847) 492-8130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036075448 (IL)

Record details

NPI number1184853558
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2009
Last updated in NPPESJuly 7, 2009
Mailing address1210 Chicago Ave, Ste 503, Evanston, IL 60202-6515

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