Individual
BRENT M BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2615 THREE OAKS RD, SUITE 1A, CARY, IL 60013-6123
(847) 516-8095
(847) 516-8098
Mailing address
2615 THREE OAKS RD, SUITE 1A, CARY, IL 60013-6123
(847) 516-8095
(847) 516-8098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013307
IL
Other
Enumeration date
12/21/2007
Last updated
11/04/2011
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