Boomsma, Angela
Boomsma, Angela is an individual health care provider with primary practice located at 2850 W 95Th St Ste 400 , Evergreen Park IL 60805-2755. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boomsma, Angela can be contacted via phone (708) 424-7600.Contact Information
Primary practice address
2850 W 95Th St Ste 400
Evergreen Park IL 60805-2755
Phone: (708) 424-7600
Fax: (708) 424-7605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Lactation Consultant | 163WL0100X | 041370468 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209-012206 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209012206 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209-012206 | Illinois |
Profile Details
| NPI number | 1598163560 |
|---|---|
| LBN Legal business name | Boomsma, Angela |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2014 |
| Last updated | Oct 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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