Individual
MR. EDWIN BUSH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
2900 DEKALB AVE, SYCAMORE, IL 60178
(815) 739-2232
Mailing address
2900 DEKALB AVE., SYCAMORE, IL 60178
(815) 758-2911
(815) 758-1877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005637
IL
111NS0005X
Sports Physician Chiropractor
038.005637
IL
Other
Enumeration date
12/12/2006
Last updated
09/05/2017
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