MS. Tina M Bousman, PA-C is a medical physician assistant in Oak Lawn, IL. MS. Tina M Bousman, PA-C NPI is 1598751901. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4400 W 95TH ST
SUITE 306
OAK LAWN, IL
ZIP 60453-654
Phone: (708) 346-5562
Fax: (708) 346-2059
The enumeration date for this NPI number is 9/21/2005 and was last updated on 5/17/2010.