# DANA BOZEDAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235221805
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070015281 | IL | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 10/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1619980 | BCBS OF IL | IL |
| 01 | — | 1623066 | BCBS PROVIDER \# | IL |
| 01 | — | 367885100 | US DEPT OF LABOR PROV.\# | IL |
| 01 | — | CJ4383 | R.R. MEDICARE GRP\# | IL |
| 01 | — | CJ8115 | RR MEDICARE GRP\# | IL |