Boti, Faderin

Boti, Faderin is an individual health care provider with primary practice located at 4239 W 95Th St , Oak Lawn IL 60453-2623. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Boti, Faderin can be contacted via phone (708) 519-0188.

Contact Information

Primary practice address
4239 W 95Th St Oak Lawn IL 60453-2623
Phone: (708) 519-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017876 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209017876 Illinois

Profile Details

NPI number 1770170466
LBN Legal business name Boti, Faderin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2020
Last updated Jul 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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