Individual
MELISSA A BOSHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2627 N RIDGEWAY AVE, 3N, CHICAGO, IL 60647-1119
(773) 876-4090
Mailing address
2627 N RIDGEWAY AVE, 3N, CHICAGO, IL 60647-1119
(773) 876-4090
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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