Organization
MODIFY, P.C.
Active
Other names
Busch & Lawm Clinical Services, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARY BUSCH PH.D., MSCP (OWNER)
(630) 753-9800
Entity
Organization
Contact information
Practice address
2244 95TH ST STE 301, NAPERVILLE, IL 60564-8118
(630) 753-9800
(630) 753-9798
Mailing address
2244 95TH ST STE 301, NAPERVILLE, IL 60564-8118
(630) 753-9800
(630) 753-9798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071005399
IL
103TP0016X
Prescribing (Medical) Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09923724
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/27/2007
Last updated
05/07/2026
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