AMANDA MARIE BOZICH; NPI #1770135485

Contact Information

AMANDA MARIE BOZICH

800 BIESTERFIELD RD STE 207
ELK GROVE VILLAGE, IL 60007-3378

Phone: 847-228-6543
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for AMANDA MARIE BOZICH

NPI #	`1770135485`
LBN Legal business name	AMANDA MARIE BOZICH
Authorized official	AMANDA BOZICH - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/12/2019
Last updated	11/01/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AMANDA MARIE BOZICH

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for AMANDA MARIE BOZICH

Reviews for AMANDA MARIE BOZICH