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Organization

THE BUSCH CLINIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA A. BUSCH MSW, LCSW (PRESIDENT)
(618) 222-7277
Entity
Organization

Contact information

Practice address
4460 N ILLINOIS ST, SUITE 7, SWANSEA, IL 62226-1899
(618) 222-7277
(618) 222-7305
Mailing address
4460 N ILLINOIS ST, SUITE 7, SWANSEA, IL 62226-1899
(618) 222-7277
(618) 222-7305

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
149009826
IL

Other

Enumeration date
07/20/2006
Last updated
01/29/2013
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