TINA M BOUSMAN

OAK LAWN, IL
NPI1598751901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085-002077)
Enumeration Date2005-09-21
Last Update Date2010-05-17
Business Address
Ms. TINA M BOUSMAN PA-C
4400 W 95TH ST SUITE 306
OAK LAWN, IL 60453-2654
Phone number: 708-346-5562
Mailing Address
Ms. TINA M BOUSMAN PA-C
4400 W 95TH ST SUITE 306
OAK LAWN, IL 60453-2654
Phone number: 708-346-5562
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