Individual
BOSEDE APATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7906 S CRANDON AVE STE 7, CHICAGO, IL 60617-1146
(312) 842-7580
Mailing address
650 GRANT ST, STE 7, GARY, IN 46404-1551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.013616
IL
Other
Enumeration date
12/03/2015
Last updated
11/29/2016
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