Individual
CLARA MARIE BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(602) 839-2000
Mailing address
4231 WILLOW BROOK RD, DE PERE, WI 54115-9232
(920) 857-0197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0000000000
WI
208600000X
Surgery Physician
Primary
125.086862
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
03/30/2026
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