| NPI | 1457479503 |
|---|---|
| Former Legal Business Name | BUSCH & LAWM CLINICAL SERVICES, P.C. |
| Entity Type | Organization |
| Authorized Contact | LISA MARY BUSCH Owner, CEO 630-753-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005399) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-07-12 |