Individual
ANA CRISTINA BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 PFINGSTEN RD, GLENVIEW, IL 60026-1301
(847) 657-5800
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-3172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008469
IL
363A00000X
Physician Assistant
9114799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111861300
—
FL
01
—
DYR68
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/12/2020
Last updated
05/19/2025
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