Ivona Bousheh
Ivona Bousheh is a Student in an Organized Health Care Education/Training Program in Northbrook, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3050 Pheasant Creek Dr Apt 104Northbrook, IL 60062-3369
Phone: (773) 954-4577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209.030739 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548097769 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2024 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
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