MRS. Illene Rita Bosley MS, CAC-I

  • NPI 1225156177
According to our database, the NPI number for MRS. Illene Rita Bosley MS, CAC-I is 1225156177 and activated since 17 years ago. MRS. Illene Rita Bosley MS, CAC-I is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 13220 Woodward Ave, Highland Park, MI 48203. You can also contact MRS. Illene Rita Bosley MS, CAC-I via telephone number is (313) 868-1946. Provider NPI information was last updated on 07/09/2007.

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Overview of MRS. Illene Rita Bosley MS, CAC-I

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/27/2007
  • Last updated: 07/09/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 104259
  • License State: MI

Provider Mailing Address

  • Address: 150 Stimson St
    Detroit, MI 48201
  • Phone: 313-993-4700
  • Fax: 313-993-6603

Provider Practice Location

  • Address: 13220 Woodward Ave
    Highland Park, MI 48203
  • Phone: 313-868-1946
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 104259
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1063545556
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: GENESIS HOUSE III

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Illene Rita Bosley MS, CAC-I?
  • A: The npi number for MRS. Illene Rita Bosley MS, CAC-I is 1225156177.
  • Q: What are MRS. Illene Rita Bosley MS, CAC-I's specialties?
  • A: MRS. Illene Rita Bosley MS, CAC-I's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MRS. Illene Rita Bosley MS, CAC-I?
  • A: The medical license number for MRS. Illene Rita Bosley MS, CAC-I is 104259 and issued in MI in USA.
  • Q: Where is MRS. Illene Rita Bosley MS, CAC-I practice location?
  • A: MRS. Illene Rita Bosley MS, CAC-I is practicing at 13220 Woodward Ave, Highland Park, MI 48203.
  • Q: How to contact MRS. Illene Rita Bosley MS, CAC-I?
  • A: You can contact MRS. Illene Rita Bosley MS, CAC-I via 313-868-1946.
Medicare Specialty
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Addiction Medicine
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