Individual
MRS. MINNIE BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
347 YATES AVE, CALUMET CITY, IL 60409-1852
(469) 894-0619
Mailing address
347 YATES AVE, CALUMET CITY, IL 60409-1852
(469) 894-0619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041495056
IL
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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