IndividualActive
Bozena Prus, PA
NPI 1295180784 · Surgical Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1295180784
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085001507 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1725 W Harrison St
Suite 855
Chicago, IL 60612-3841
Phone: (312) 942-6644
Approximate (ZIP-level) locationGet directions
Mailing address
1725 W Harrison St
Chicago, IL 60612-3841
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2016-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.