Individual
JONATHAN WILLARD BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, LURIE CHILDREN'S HOSPITAL, BOX 17, DEPT OF PATHOLOGY, CHICAGO, IL 60611-2991
(312) 227-3973
(312) 227-9616
Mailing address
225 E CHICAGO AVE, LURIE CHILDREN'S HOSPITAL, BOX 17, DEPT OF PATHOLOGY, CHICAGO, IL 60611-2991
(312) 227-3973
(312) 227-9616
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
036134248
IL
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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