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Individual

CYNTHIA L. BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, PCNS-BC

Contact information

Practice address
1801 W TAYLOR ST # 2E, CHILDREN AND ADOLESCENT CENTER, CHICAGO, IL 60612-4319
(312) 996-7202
(312) 413-3445
Mailing address
1919 W TAYLOR ST RM 808, CHILDREN'S HABILITATION CLINIC, CHICAGO, IL 60612-7246
(312) 996-1376
(312) 413-3445

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041-227271
IL
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209-007230
IL

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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