Ms Susan Marie Boose, LPN is a
Licensed Practical Nurse based in Forest Park, Illinois. Ms Susan Marie Boose is licensed to practice in Illinois (license number 043.051922) and her current practice location is
1315 Marengo Ave, Forest Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 366-7498.
NPI number for Ms Susan Marie Boose is 1336713221 and her current mailing address is 1315 Marengo Ave, Forest Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336713221.
Provider's Profile
Full Name | Ms Susan Marie Boose |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1315 Marengo Ave, Forest Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336713221
- Provider Enumeration Date: 05/17/2021
- Last Update Date: 05/17/2021
Medical Identifiers
Medical identifiers for Ms Susan Marie Boose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336713221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043.051922 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susan Marie Boose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Susan Marie Boose, LPN 1315 Marengo Ave, Forest Park, IL 60130-2434 Ph: () - | Ms Susan Marie Boose, LPN 1315 Marengo Ave, Forest Park, IL 60130-2434 Ph: (708) 366-7498 |
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