Individual
PHILIP N BUSHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1786 MOON LAKE BLVD, SUITE 205, HOFFMAN ESTATES, IL 60194-5029
(847) 885-1200
(847) 885-1212
Mailing address
1786 MOON LAKE BLVD, SUITE 205, HOFFMAN ESTATES, IL 60194-5029
(847) 885-1200
(847) 885-1212
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1625882
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/14/2006
Last updated
07/08/2007
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