MS. Susan Marie Boose, LPN
NPI #1336713221 in Forest Park, Illinois
Provider Information
- NPI Number
- 1336713221
- Entity Type
- Individual
- Name
- MS. Susan Marie Boose, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 17, 2021
- Last Updated
- May 17, 2021
Practice Location
- Address
- 1315 MARENGO AVE
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2434
- Phone
- (708) 366-7498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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