Individual provider Active NPI

Alpa Boshku, M.D.

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1689680449
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036108692 Issued in IL
Practice address
6595 E State St
Rockford, IL 61108-2542
Phone
(815) 226-1300
Fax
(815) 226-1301
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLC 256 clinicians

Practice addresses (Care Compare)

600 W Adams St
Chicago, IL 60661-3604
Phone (312) 506-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000500 IL Practitioner - Family Practice 1850288457 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Mar 11, 2017 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

5961 N Lincoln Ave
Ste 102
Chicago, IL 60659
Phone 3127023923 ext. 23923

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

11475 N 2nd St
Machesney Pk, IL 61115
Phone (815) 543-5612

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

6595 E State St
Rockford, IL 61108
Phone (815) 226-1300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036108692 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

6595 E State St
Rockford, IL 61108-2542

Mailing address

11475 N 2ND St
Machesney Park, IL 61115-1285
Phone (815) 654-8000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2013.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1689680449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 N 2ND ST",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151285",
            "telephone_number": "815-654-8000",
            "fax_number": "815-654-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082542",
            "telephone_number": "815-226-1300",
            "fax_number": "815-226-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHKU",
        "first_name": "ALPA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.