Individual
MS. BONNIE MARIE RUSHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1460 N HALSTED ST, STE 501, CHICAGO, IL 60642-2605
(773) 388-6390
(312) 867-7101
Mailing address
1460 N HALSTED ST, STE 501, CHICAGO, IL 60642-2605
(773) 388-6390
(312) 867-7101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004631
IL
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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