Individual
MISS MARION HELGA BUSSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
2822N CAMBRIDGE AVE 32, CHICAGO, IL 60657-6025
(312) 613-8109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
11/10/2015
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