NPI 1710777396

Minnie Bostic, RN

Practitioner Registered Nurse Calumet City, IL

Practice location

Address: 347 Yates Ave, Calumet City, IL 60409-1852
Phone: (469) 894-0619

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 041495056 (IL)

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Registry record

NPI: 1710777396
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2025
Record last updated: 8 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.