Individual
DR. GABRIELLE BOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036097300
IL
2085R0202X
Diagnostic Radiology Physician
Primary
G77639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097300
—
IL
01
—
1618334
BCBS ID
IL
Enumeration date
09/13/2006
Last updated
11/19/2020
Update your record
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