MS. SUSAN MARIE BOOSE LPN
NPI 1336713221
Licensed Practical Nurse in Forest Park, IL

Active since May 17, 2021
1315 MARENGO AVE, FOREST PARK, IL 60130(708) 366-7498 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Marie Boose Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN MARIE BOOSE LPN (NPI 1336713221) is an individual licensed practical nurse in Forest Park, Illinois, licensed in Illinois (043.051922) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1336713221
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. SUSAN MARIE BOOSECredential: LPN
Location Address1315 MARENGO AVEForest Park, IL 60130-2434
Mailing Address1315 Marengo AveForest Park, IL 60130-2434
Sole ProprietorYes
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
NPI 1336713221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in IL · 043.051922
Definition
A licensed practical nurse 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.
1315 MARENGO AVE, Forest Park, IL 60130

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1315 MARENGO AVE
FOREST PARK, IL 60130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Boose's NPI number?

The NPI number for Susan Boose is 1336713221. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Susan Boose located?

Susan Boose practices at 1315 Marengo Ave, Forest Park, IL 60130. The listed phone number is (708) 366-7498.

What is Susan Boose's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Susan Boose was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.