Magdalena Boba, MS, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209008790 Issued in IL

Practice address

2550 Hauser Ross Dr
Suite 350
Sycamore, IL 60178-3149

Phone

(815) 758-7700

Fax

(815) 756-6103

NPI assigned

Apr 23, 2011

Last updated

Mar 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457827200000",
    "number": "1356632475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DR",
            "address_2": "SUITE 350",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DR",
            "address_2": "SUITE 350",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783149",
            "telephone_number": "815-758-7700",
            "fax_number": "815-756-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBA",
        "first_name": "MAGDALENA",
        "credential": "MS, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-23",
        "last_updated": "2016-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209008790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Lotus Counseling Center
• Darla Lynn Blackbourn, DTV
• Paul J Blaha, DDS MS
• Erin Blair, MS, LMFT
• Bloom Women's Counseling, LLC
• Madilin Bodine
• Russell Jeffrey Bodner, M.D.
• Megan Boehning
• Jesse Boelter, D.C.
• Susan Louise Bogue, L.C.S.W.

• Adult Health Nurse Practitioner in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.