Individual
ELIZABETH BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
311 W FAIRCHILD ST, DANVILLE, IL 61832-3876
(217) 431-7600
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801-7945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022702
IL
Other
Enumeration date
04/01/2021
Last updated
11/10/2022
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