Individual
MRS. OLIVIA CHRISTINA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 E RANDOLPH ST APT 3616, CHICAGO, IL 60601-7343
(612) 600-5382
Mailing address
400 E RANDOLPH ST APT 3616, CHICAGO, IL 60601-7343
(612) 600-5382
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
041447607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041447607
NURSE LICENSE
IL
Enumeration date
09/24/2019
Last updated
09/24/2019
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