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1992121156
VINCENT BOTTA
OSWEGO, IL
NPI
1992121156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 277001993)
Enumeration Date
2014-03-12
Last Update Date
2023-09-07
Business Address
VINCENT BOTTA A.P.N.
80 TEMPLETON DR
OSWEGO, IL 60543-7000
Phone number: 630-554-3456
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Mailing Address
VINCENT BOTTA A.P.N.
28594 NETWORK PL
CHICAGO, IL 60673-6410
Phone number: 630-859-6800
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