Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Boseung Halliwell, APN-CNP

Individual provider Nurse Practitioner · NPI 1558676221

Boseung Halliwell, APN-CNP is a Nurse Practitioner in Evanston, Illinois. Graduated from University of Vermont College of Medicine in 2009, 17 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
17
Trained at
University of Vermont College of Medicine
Licensed in
IL
In the registry since
2010
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Practice location Address checks out

2650 Ridge Ave
Evanston, IL 60201-1700
Phone: (847) 425-6400
Fax: (847) 425-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209012602 (IL)

Record details

NPI number1558676221
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedAugust 18, 2010
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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