Individual
DR. GIANNA BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-165137
IL
208000000X
Pediatrics Physician
Primary
036-165137
IL
Other
Enumeration date
05/30/2019
Last updated
09/08/2023
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