William Bush, LPN
Licensed Practical Nurse in Chicago, IL. Individual provider (NPI-1).
NPI number1689116089
StatusActive
Last updated in NPPESNov 16, 2016
Details
- NPI
- 1689116089
- Entity type
- Individual (NPI-1)
- Name
- William Bush
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2016
- Last updated
- Nov 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043.070635 | IL | Yes |
Practice location
5744 W Midway ParkChicago, IL 60644-1818
Phone 773-261-6876
Mailing address
5744 W Midway ParkChicago, IL 60644-1818
Phone 773-261-6876
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