Individual
MRS. CAROL BUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 N. FAIRWAY DRIVE, LENA, IL 61048-9562
(815) 821-4476
Mailing address
540 N. FAIRWAY DRIVE, LENA, IL 61048-9562
(815) 821-4476
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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