Bousheh, Elias

Bousheh, Elias is an individual health care provider with primary practice located at 5255 E Maryland St , Decatur IL 62521-9705. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Bousheh, Elias can be contacted via phone (217) 864-1264.

Contact Information

Primary practice address
5255 E Maryland St Decatur IL 62521-9705
Phone: (217) 864-1264
Fax: (217) 864-1828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070027717 Illinois

Profile Details

NPI number 1902376239
LBN Legal business name Bousheh, Elias
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2018
Last updated Sep 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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