Individual
DR. DINO G BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
127 E PARK AVENUE, LIBERTYVILLE, IL 60048-2801
(847) 680-3138
(847) 680-5889
Mailing address
127 E PARK AVE, LIBERTYVILLE, IL 60048-2801
(847) 680-3138
(847) 680-5889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04920778
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/05/2006
Last updated
07/08/2007
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