Individual
DR. JOAO VICENTE BUSNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 WILSON LN, DES PLAINES, IL 60016-4729
(844) 756-8600
Mailing address
100 E 14TH ST APT 2501, CHICAGO, IL 60605-3674
(312) 608-6356
(312) 942-8153
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-131768
IL
Other
Enumeration date
09/25/2009
Last updated
06/24/2020
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