Magdalena M Boba (NPI# 1356632475, PAC ID# 4183891013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356632475 |
| PAC ID by PECOS | 4183891013 |
| Professional Enrollment ID | I20120118000367 |
| Full Name | Magdalena M Boba |
| Organization Legal Name | ELITE CARDIOLOGY SOLUTIONS LLC |
| Address |
2550 Hauser Ross Dr Suite 325 Sycamore IL 60178-3180 |
| Phone Number | 8157587700 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850448549 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140286 | KISHWAUKEE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2550 Hauser Ross Dr, Suite 325, Sycamore, IL 60178-3180 | 8157587700 | ELITE CARDIOLOGY SOLUTIONS LLC |
| 2550 Hauser Ross Dr, Sycamore, IL 60178-3180 | 8157587700 | ELITE CARDIOLOGY SOLUTIONS LLC |
| Organization Legal Name | ELITE CARDIOLOGY SOLUTIONS LLC |
| Physicians | 1 |
| Street Address |
2550 HAUSER ROSS DR SUITE 325 |
| City | SYCAMORE |
| State | IL |
| Zip | 60178-3180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Elaine Lawrence | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Kristin A Mock | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Ketan Morker | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Odolina Pope | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Mark A Drendel | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Heather Marvin | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Michael William Thornton | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Catherine A Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Cheri L Sprietler | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Find all physicians in zip 60178 | |||
| City | SYCAMORE |
| Zip Code | 60178 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SYCAMORE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Magdalena M Boba.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.