Individual
MR. JEREMY LEE BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.S.W.
Contact information
Practice address
1900 E MAIN ST, VA ILLIANA HEALTH CARE SYSTEM, SOCIAL WORK 122, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
1900 E MAIN ST, VA ILLIANA HEALTH CARE SYSTEM, SOCIAL WORK 122, DANVILLE, IL 61832-5100
(217) 554-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.012311
IL
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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