| Irene Boswell Md Pc | |
|
7445 Newburg Rd Suite 103 Rockford IL 61108-4443 | |
| (815) 332-1777 | |
| (815) 332-1655 |
| Full Name | Irene Boswell Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7445 Newburg Rd, Rockford, Illinois |
| Authorized Official Name and Position | Irene Mary Boswell (PHYSICIAN) |
| Authorized Official Contact | 8153321777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Boswell Md Pc 7445 Newburg Rd Suite 103 Rockford IL 61108-4443 Ph: (815) 332-1777 | Irene Boswell Md Pc 7445 Newburg Rd Suite 103 Rockford IL 61108-4443 Ph: (815) 332-1777 |
| NPI Number | 1912216284 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Medicare PECOS PAC ID | 6103018742 |
|---|---|
| Medicare Enrollment ID | O20101014000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912216284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036091532 (Illinois) | Primary |
| Provider Name | Irene M Boswell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548226905 PECOS PAC ID: 1355533993 Enrollment ID: I20101014000362 |
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