Debarati Banerji Bose, MD Valid NPI

Individual provider · Family Medicine Physician · Oswego, IL

NPI

1982823100

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036117495 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-25

Last updated

2021-03-10