Ivona Bousheh
Nurse Practitioner, Family in Northbrook, IL. Individual provider (NPI-1).
NPI number1548097769
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1548097769
- Entity type
- Individual (NPI-1)
- Name
- Ivona Bousheh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2024
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.030739 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3050 Pheasant Creek Dr Apt 104Northbrook, IL 60062-3369
Phone 773-954-4577
Mailing address
3050 Pheasant Creek Dr Apt 104Northbrook, IL 60062-3369
Phone 773-954-4577
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All 25 Family Nurse Practitioner providers in Northbrook · All 2,895 providers in Northbrook
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