Provider Demographics
NPI:1891039020
Name:BOS, ALAINA RAU (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALAINA
Middle Name:RAU
Last Name:BOS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 W CORNELIA AVE
Mailing Address - Street 2:UNIT #204
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2925
Mailing Address - Country:US
Mailing Address - Phone:773-325-0523
Mailing Address - Fax:
Practice Address - Street 1:1550 W CORNELIA AVE
Practice Address - Street 2:UNIT #204
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-2925
Practice Address - Country:US
Practice Address - Phone:773-325-0523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009025235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist