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Diane Boquist

NPI 1780088443 · on the registry since 2014

Practice

Address
28401 N Ballard Dr Ste G
Lake Forest, IL 60045
Phone
(224) 212-0624

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-26

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