Individual
CELINE BOERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4235 W NORTH AVE, CHICAGO, IL 60639-4852
(773) 278-6868
Mailing address
1427 FOREST AVE, CALUMET CITY, IL 60409-6049
(773) 891-2507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041183241
IL
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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