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Individual

ALPA BOSHKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6595 E STATE ST, ROCKFORD, IL 61108-2542
(815) 226-1300
(815) 226-1301
Mailing address
11475 N 2ND ST, MACHESNEY PARK, IL 61115-1285
(815) 654-8000
(815) 654-8020

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036108692
IL

Other

Enumeration date
08/01/2006
Last updated
03/08/2013
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