AVIDA NUBIA BUSSELL

LA PORTE, IN
NPI1235360165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  125.05539)
Enumeration Date2009-07-27
Last Update Date2019-03-25
Business Address
DR. AVIDA NUBIA BUSSELL M.D.
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-326-2300
Mailing Address
DR. AVIDA NUBIA BUSSELL M.D.
17800 KEDZIE AVE
HAZEL CREST, IL 60429-2029
Phone number: 708-213-4200
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