Search › Illinois › 363LF0000X
Ivona Bousheh
NPI 1548097769 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3050 Pheasant Creek Dr Apt 104
Northbrook, IL 60062 - Phone
- (773) 954-4577
- Organisation at this address
- Lauren Raphael Lcsw Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois