Organization
VEDA MEDICAL AND CONSULTING RESEARCH
Active
Other names
Veda Wellness Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVIDA BUSSELL MD (MEMBER/EMPLOYEE/DIRECTOR)
(708) 981-8609
Entity
Organization
Contact information
Practice address
8801 S STONY ISLAND AVE, CHICAGO, IL 60617-2810
(708) 586-9798
Mailing address
22615 HUNTERS TRL, FRANKFORT, IL 60423-6001
(773) 981-8609
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
1744R1102X
Research Study Specialist
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
251E00000X
Home Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.129396
STATE OF ILLINOIS
IL
Enumeration date
12/21/2021
Last updated
12/21/2021
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