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Elias Bousheh
NPI 1902376239 · on the registry since 2018
Practice
- Address
- 5255 E Maryland St
Decatur, IL 62521 - Phone
- (217) 864-1264
- Fax
- (217) 864-1828
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Also registered as
- Athletic Trainer
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-15
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