Individual
MR. BRIAN MARTIN BUSANICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C.
Contact information
Practice address
1503 W NELSON ST, #3R, CHICAGO, IL 60657-3116
(773) 220-0812
(708) 222-5832
Mailing address
1503 W NELSON ST, #3R, CHICAGO, IL 60657-3116
(773) 220-0812
(708) 222-5832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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