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Organization
IRENE BOSWELL MD PC
Active
Organization
IRENE BOSWELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE MARY BOSWELL MD (PHYSICIAN)
(815) 332-1777
Entity
Organization
Contact information
Practice address
7445 NEWBURG RD, SUITE 103, ROCKFORD, IL 61108-4443
(815) 332-1777
(815) 332-1655
Mailing address
7445 NEWBURG RD, SUITE 103, ROCKFORD, IL 61108-4443
(815) 332-1777
(815) 332-1655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036091532
IL
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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