Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TINA M BOUSMAN, PA-C
ActiveMS. TINA M BOUSMAN, PA-C is a Medical Physician Assistant healthcare provider located in OAK LAWN, Illinois. NPI 1598751901 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · OAK LAWN, IL
Registration Details
- NPI Number
- 1598751901
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2005 (20.932468537618 yrs)
- Last Updated
- May 17, 2010
- License
-
085-002077 (IL)
Practice Information
- Address
-
4400 W 95TH STSUITE 306OAK LAWN, IL, 604532654Browse IL providers · Browse ZIP 60453
- Phone
- 7083465562
- Fax
- 7083462059
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in OAK LAWN, IL
| Name | Credential | NPI |
|---|---|---|
| SARAH JANE EHRHARDT | PA-C | 1912057803 |
| VIVIAN L GARRETT-LEE | PA | 1922144799 |
| MR. ERNEST EDWARD ELLISON | P.A. | 1730374976 |
| SONDOS MASOUD | PA-C | 1801455373 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.