SearchIllinois376J00000X

Sharese Wilson-Bouie

NPI 1588437263 · on the registry since 2023

Practice

Address
1490 Merrimac Ln N
Hanover Park, IL 60133
Phone
(630) 641-3950

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-03

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