| Boubacar Bah, | |
|
1631 Forest Rd Apt 204, La Grange Park, IL 60526-1414 | |
| (630) 362-8334 | |
| Not Available |
| Full Name | Boubacar Bah |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1631 Forest Rd Apt 204, La Grange Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497467401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.026536 (Illinois) | Primary |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Boubacar Bah, 1631 Forest Rd Apt 204, La Grange Park, IL 60526-1414 Ph: (630) 362-8334 | Boubacar Bah, 1631 Forest Rd Apt 204, La Grange Park, IL 60526-1414 Ph: (630) 362-8334 |
Miriam Manrique, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321 N La Grange Rd, La Grange Park, IL 60526 Phone: 708-745-5277 | |
Arthur B Flores Jr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 321 N La Grange Rd, La Grange Park, IL 60526 Phone: 708-745-5277 | |
Michelle Kramer, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Ostrander Ave, La Grange Park, IL 60526 Phone: 773-263-9035 | |
Elizabeth Clay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 N La Grange Rd, La Grange Park, IL 60526 Phone: 708-485-1020 | |
Patricia Freeman Stevens, RN, MS, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 N Park Rd, La Grange Park, IL 60526 Phone: 708-937-9811 | |
Mrs. Mary Ann Noonan, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 N La Grange Rd, La Grange Park, IL 60526 Phone: 708-485-0069 | |
Sandra Luz Araiza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 321 N La Grange Rd, La Grange Park, IL 60526 Phone: 708-745-5277 |