Individual
WILLIAM JEROME BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(773) 843-3000
(773) 843-2704
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(773) 843-3000
(773) 843-2704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003357
IL
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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