IndividualActive
Amani Bosley, PA
NPI 1558136390 · Medical Physician Assistant · Homewood, IL
Provider details
- NPI number
- 1558136390
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085.010523 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
19150 Kedzie Ave Ste 100
Homewood, IL 60430-4540
Phone: (847) 381-8899
Approximate (ZIP-level) locationGet directions
Mailing address
19150 Kedzie Ave Ste 100
Homewood, IL 60430-4540
Registry dates
- Enumerated
- 2023-11-21
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.