Organization
JOHN G. BUSH, DO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GREGORY BUSH DO (PRESIDENT)
(815) 469-6646
Entity
Organization
Contact information
Practice address
222 COLORADO AVE., FRANKFORT, IL 60423-1334
(815) 469-6646
(815) 469-6647
Mailing address
222 COLORADO AVE., FRANKFORT, IL 60423-1334
(815) 469-6646
(815) 469-6647
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
03654141
IL
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
036-054141
IL
Other
Enumeration date
06/04/2007
Last updated
11/25/2009
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