Individual
DR. BUSOLE CHARLOTTE MASSUNKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 626-4300
Mailing address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 626-4300
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
125084893
IL
Other
Enumeration date
07/25/2024
Last updated
07/28/2024
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