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Faderin Boti
Family Nurse Practitioner in Oak Lawn, Illinois
NPI 1770170466

Faderin Boti is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Faderin Boti practices in Oak Lawn, IL. The NPI Number for Faderin Boti is 1770170466 and holds a License No. 209017876 (Illinois).

The current practice location address for Faderin Boti is 4239 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-519-0188.

Location: 4239 W 95Th St, Oak Lawn, IL, 60653-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770170466
Provider Name
Faderin Boti
Credential
Provider Entity Type
Individual
Gender
Female
Address
4239 W 95Th St, Oak Lawn, IL, 60653-2912
Phone Number
708-519-0188
Fax Number
Provider Enumeration Date
12/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4239 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2623
Phone Number
708-519-0188
Fax Number
person
Provider Business Mailing Address Details
Address
4239 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2623
Phone Number
708-519-0188
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209017876 (Illinois)
Definition
Definition to come...
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