Laurie Ann Boskovich
Individual provider Active NPI Clinical Social Worker · Hines, IL
NPI 1750695367 · NPPES record last updated Aug 6, 2010
Key facts
- NPI
- 1750695367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 5000 S 5TH Ave
BLDG 228, 4N
Hines, IL 60141-3030 - Phone
- (708) 415-7133
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
5000 S 5TH Ave
BLDG 228, 4N
Hines, IL 60141-3030
Mailing address
5000 S 5TH Ave
BLDG 228, 4N
Hines, IL 60141-3030
Phone (708) 415-7133
Other providers in Hines, IL
- Amy Kristin Black
- Jennifer Ann Blake
- Kristan Blum
- Dawn Bolton
- Ryan Michael Booth
- Virginia E Bove
- Amanda Renee Bowers
- Emily Boychuck
- Taylor Marie Brady
- Millie C Brahmbhatt
All providers in Hines, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.