Individual
DR. AMANDA JO BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 HENRY LUCKOW LN, BELVIDERE, IL 61008
(779) 696-8650
Mailing address
PO BOX 78866 SWEDISHAMERICAN MEDICAL GROUP, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
N3526
TX
207VG0400X
Gynecology Physician
036.125964
IL
207VG0400X
Gynecology Physician
MB0755263A
MA
207VG0400X
Gynecology Physician
Primary
N3526
TX
Other
Enumeration date
12/06/2008
Last updated
01/03/2024
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