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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SUSAN MARIE BOOSE, LPN

Active Sole Proprietor

MS. SUSAN MARIE BOOSE, LPN is a Licensed Practical Nurse healthcare provider located in FOREST PARK, Illinois. NPI 1336713221 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · FOREST PARK, IL

Registration Details

NPI Number
1336713221
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2021 (5.2018736701126 yrs)
Last Updated
May 17, 2021
License
043.051922 (IL)
Sole Proprietor
Yes

Practice Information

Address
1315 MARENGO AVE
FOREST PARK, IL, 601302434
Browse IL providers · Browse ZIP 60130
Phone
7083667498
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in FOREST PARK, IL

Name Credential NPI
YVONETTA WHITE 1235993676
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.