Individual
NICHELLE M BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP CEN
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-5800
(708) 923-8324
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-5800
(708) 923-8324
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2817956A
IN
363L00000X
Nurse Practitioner
Primary
209012827
IL
363L00000X
Nurse Practitioner
Primary
277000307
IL
363LA2100X
Acute Care Nurse Practitioner
209012827
IL
363LA2100X
Acute Care Nurse Practitioner
71005467A
IN
363LF0000X
Family Nurse Practitioner
209012827
IL
363LF0000X
Family Nurse Practitioner
71005467A
IN
Other
Enumeration date
04/21/2015
Last updated
04/21/2026
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