Individual
DR. AVIDA NUBIA BUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
433 W 95TH ST, CHICAGO, IL 60628-1155
(312) 488-0040
(708) 719-2922
Mailing address
22615 HUNTERS TRL, FRANKFORT, IL 60423-6001
(773) 981-8609
(708) 719-2922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.05539
IL
Other
Enumeration date
07/27/2009
Last updated
01/27/2026
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