NPI 1770135485 · live from the CMS NPI Registry
Amanda Marie Bozich
Podiatrist, Foot & Ankle Surgery in Elk Grove Village, IL. National Provider Identifier 1770135485, active.
NPI record
| NPI | 1770135485 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 800 Biesterfield Rd Ste 207, Elk Grove Village, IL 60007 |
| Practice phone | 847-228-6543 |
| Enumerated | July 12, 2019 |
| Last updated | November 1, 2019 |
| Authorized official | Amanda Bozich, Owner |
| Other names | Amanda Bozich Dpm |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.