Individual
ELIZABETH JANE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10434 S KEDZIE AVE, CHICAGO, IL 60655-2018
(773) 445-2700
(773) 445-2325
Mailing address
10434 S KEDZIE AVE, CHICAGO, IL 60655-2018
(773) 445-2700
(773) 445-2325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010594
IL
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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