Individual
IWONA BOSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
676 N ST.CLAIR STREET, SUITE 2140, CHICAGO, IL 60611
(312) 695-6832
(312) 695-7814
Mailing address
676 N SAINT CLAIR ST STE 2140, CHICAGO, IL 60611-3143
(312) 695-0990
(312) 664-5854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020836
IL
363LA2200X
Adult Health Nurse Practitioner
209.020836
IL
Other
Enumeration date
02/17/2020
Last updated
06/09/2020
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