Individual provider · Type 1 NPI

Susan Marie Boose, LPN

Licensed Practical Nurse · Forest Park, IL

NPI number 1336713221 Active

Practice location

1315 Marengo Ave
Forest Park, IL 60130-2434

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043.051922 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1336713221

Susan Marie Boose, LPN's National Provider Identifier is 1336713221, issued on May 17, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Forest Park, IL. The record was last updated on May 17, 2021.