Organization
BUSHRA: SOMATIC ART THERAPY & EXPRESSIVE PRACTICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FOREMAN (CREDENTAILING)
(630) 313-0069
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR STE 1102313, CHICAGO, IL 60611-4546
(312) 278-7083
Mailing address
680 N LAKE SHORE DR STE 110, CHICAGO, IL 60611-4447
(312) 278-7083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
06/02/2025
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