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Contact Information

ELIZABETH W BOONE, NURSE PRACTITIONER
2213 BURR OAK AVE
NORTH RIVERSIDE, IL60546-1317
 Phone: 773-562-6850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ELIZABETH W BOONE · (Female)

NPI Number 1235517954
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 05/14/2015
Last updated 05/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041.385304
  • IL License # 209.012250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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