Individual
CARLA MARIA BOSSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 W 95TH ST STE 207, OAK LAWN, IL 60453-2658
(708) 684-5340
Mailing address
4400 W 95TH ST STE 207, OAK LAWN, IL 60453-2658
(708) 684-5340
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036132188
IL
Other
Enumeration date
03/25/2009
Last updated
04/25/2014
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