Search › Illinois › 152W00000X
Amanda Boscoe
NPI 1750076022 · on the registry since 2023
Practice
- Address
- 2525 Green Mount Commons Dr Ste 290
Belleville, IL 62221 - Phone
- (618) 233-7800
- Fax
- (618) 233-7290
- Clinicians at this address
- 3
Additional practice sites
- 3501 S Shields St, Fort Collins, CO
- 3405 Nameoki Rd, Granite City, IL
- 10 Lincoln Hwy, Fairview Heights, IL
- 601 Belt Line Rd, Collinsville, IL
- 1025 Columbia Ctr, Columbia, IL
- 2645 N Illinois St, Swansea, IL
- 3248 Green Mount Crossing Dr, Shiloh, IL
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 390200000X
152W00000X - Licence states on file
- CO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois