Individual provider · NPI-1

Tanja S Boskov, MD

Family Medicine · Elmhurst, IL

NPI number1811943632
StatusActive
Last updated in NPPESMay 4, 2021

Details

NPI
1811943632
Entity type
Individual (NPI-1)
Name
Tanja S Boskov
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2006
Certification date
May 4, 2021
Last updated
May 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036093536ILYes

Practice location

172 Schiller St
Elmhurst, IL 60126-2885

Phone 331-221-9001 · Fax 331-221-2305

Mailing address

4201 Winfield Rd Fl 4
Warrenville, IL 60555-4025

Phone 331-221-6377 · Fax 331-221-2357

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