Individual
MISS ELIZABETH W BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2213 BURR OAK AVE, N RIVERSIDE, IL 60546-1317
(773) 562-6850
Mailing address
2213 BURR OAK AVE, N RIVERSIDE, IL 60546-1317
(773) 562-6850
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.385304
IL
363LF0000X
Family Nurse Practitioner
Primary
209.012250
IL
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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