STACI BUSH

CHICAGO, IL
NPI1750576369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-002164)
Enumeration Date2007-09-07
Last Update Date2007-09-07
Business Address
-- STACI BUSH PA-C
1501 S CALIFORNIA AVE
CHICAGO, IL 60608-1732
Phone number: 773-257-6770
Mailing Address
-- STACI BUSH PA-C
1501 S CALIFORNIA AVE
CHICAGO, IL 60608-1732
Phone number: 773-257-6770
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