Individual provider · Type 1 NPI
Ivona Bousheh
Family Nurse Practitioner · Northbrook, IL
NPI number
1548097769
Active
Practice location
3050 Pheasant Creek Dr Apt 104
Northbrook, IL 60062-3369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 209.030739 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1548097769
Ivona Bousheh's National Provider Identifier is 1548097769, issued on Sep 19, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Northbrook, IL. The record was last updated on Oct 8, 2024.