Mossman, Jaime Boudros

Mossman, Jaime Boudros is an individual health care provider with primary practice located at 32 S Charles Ave , Villa Park IL 60181-2618. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Mossman, Jaime Boudros can be contacted via phone (630) 204-3366.

Contact Information

Primary practice address
32 S Charles Ave Villa Park IL 60181-2618
Phone: (630) 204-3366
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X JB23770301P Illinois

Profile Details

NPI number 1972624609
LBN Legal business name Mossman, Jaime Boudros
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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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