Individual
DANIEL AVERY BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 N. MICHIGAN AVENUE, SUITE 1200, CHICAGO, IL 60611
(312) 373-7300
(312) 573-1249
Mailing address
737 N. MICHIGAN AVENUE, SUITE 1200, CHICAGO, IL 60611
(312) 373-7300
(312) 573-1249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036 055821
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615704
BCBS ILLINOIS
IL
05
—
036055821
—
IL
01
—
26001124
RAILROAD MEDICARE
—
Enumeration date
08/10/2006
Last updated
07/13/2010
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