Individual
LESLIE ANN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-1920
(312) 695-5747
Mailing address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-1920
(312) 695-5747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005060
IL
Other
Enumeration date
07/15/2014
Last updated
07/02/2024
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