Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA SUSAN BOO, P.A.
Active Sole ProprietorAMANDA SUSAN BOO, P.A. is a Medical Physician Assistant healthcare provider located in RIVERSIDE, Illinois. NPI 1558813907 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · RIVERSIDE, IL
Registration Details
- NPI Number
- 1558813907
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2016 (9.75652899433 yrs)
- Last Updated
- Nov 2, 2016
- License
-
085006069 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2910 HARLEM AVERIVERSIDE, IL, 605461785Browse IL providers · Browse ZIP 60546
- Phone
- 7084474267
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.