person
Ms. Tina M Bousman, PA-C
Medical Physician Assistant in Oak Lawn, Illinois
NPI 1598751901

Tina M Bousman is a Medical Physician Assistant based in Oak Lawn, IL and is specialized in Medical. Tina M Bousman practices in Oak Lawn, IL and has the professional credentials of PA-C. The NPI Number for Tina M Bousman is 1598751901 and holds a License No. 085-002077 (Illinois).

The current practice location address for Tina M Bousman is 4400 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-346-5562 and via fax at 708-346-2059.

Location: 4400 W 95Th St, Oak Lawn, IL, 60453-2654
person
Provider Profile Details
NPI Number
1598751901
Provider Name
Tina M Bousman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4400 W 95Th St, Oak Lawn, IL, 60453-2654
Phone Number
708-346-5562
Fax Number
708-346-2059
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4400 W 95Th St
City
State
Zip
60453-2654
Phone Number
708-346-5562
Fax Number
708-346-2059
person
Provider Business Mailing Address Details
Address
4400 W 95Th St
City
State
Zip
60453-2654
Phone Number
708-346-5562
Fax Number
708-346-2059
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085-002077 (Illinois)
Definition
Definition to come...
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