SearchIllinois225200000X

Chenelle Boss

NPI 1851942163 · on the registry since 2019

Practice

Address
15972 Drexel Ave
South Holland, IL 60473
Phone
(773) 719-5762

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois