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Boubacar Bah
Psychiatric/Mental Health Nurse Practitioner in La Grange Park, Illinois
NPI 1497467401

Boubacar Bah is a Psychiatric/Mental Health Nurse Practitioner based in La Grange Park, IL and is specialized in Psychiatric/Mental Health. Boubacar Bah practices in La Grange Park, IL. The NPI Number for Boubacar Bah is 1497467401 and holds a License No. 209.026536 (Illinois).

The current practice location address for Boubacar Bah is 1631 Forest Rd Apt 204, La Grange Park, IL and can be reached out via phone at 630-362-8334.

Location: 1631 Forest Rd Apt 204, La Grange Park, IL, 60526-1414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497467401
Provider Name
Boubacar Bah
Credential
Provider Entity Type
Individual
Gender
Male
Address
1631 Forest Rd Apt 204, La Grange Park, IL, 60526-1414
Phone Number
630-362-8334
Fax Number
Provider Enumeration Date
12/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1631 Forest Rd Apt 204
City
La Grange Park
State
Illinois
Zip
60526-1414
Phone Number
630-362-8334
Fax Number
person
Provider Business Mailing Address Details
Address
1631 Forest Rd Apt 204
City
La Grange Park
State
Illinois
Zip
60526-1414
Phone Number
630-362-8334
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209.026536 (Illinois)
Definition
Definition to come...
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