Tina Bousman, PA-C

Individual Active
NPI 1598751901
Medical Physician Assistant Oak Lawn, IL

Tina Bousman, PA-C holds NPI 1598751901, with a primary taxonomy of medical physician assistant and a practice location in Oak Lawn, IL. The number was issued on September 21, 2005 and the NPPES record was last updated on May 17, 2010.

This record hasn't been updated in NPPES since 2010. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 085-002077 (IL)

Practice location

4400 W 95th St
Suite 306
Oak Lawn, IL 60453-2654
Phone: (708) 346-5562

Local context

Active NPPES records list 351 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 74 of them within 10 miles.

The same primary taxonomy is listed by 688 in Illinois and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ms. Tina M Bousman
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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