person
John G Bush JR., MD
Obstetrics Physician in Park Ridge, Illinois
NPI 1710120779

John G Bush JR. is a Obstetrics Physician based in Bannockburn, IL and is specialized in Obstetrics. John G Bush JR. practices in Park Ridge, IL and has the professional credentials of MD. The NPI Number for John G Bush JR. is 1710120779 and holds a License No. 036.133513 (Illinois).

The current practice location address for John G Bush JR. is 350 S Northwest Hwy Ste 112, Park Ridge, IL and can be reached out via phone at 847-825-8108 and via fax at 847-825-1774.

Location: 350 S Northwest Hwy Ste 112, Park Ridge, IL, 60015-1271
person
Provider Profile Details
NPI Number
1710120779
Provider Name
John G Bush JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 S Northwest Hwy Ste 112, Park Ridge, IL, 60015-1271
Phone Number
847-825-8108
Fax Number
847-825-1774
Provider Enumeration Date
04/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01242540 01 IL TRICARE
institution
Provider Business Practice Location Address Details
Address
350 S Northwest Hwy Ste 112
City
State
Zip
60068-4262
Phone Number
847-825-8108
Fax Number
847-825-1774
person
Provider Business Mailing Address Details
Address
350 S Northwest Hwy Ste 112
City
State
Zip
60068-4262
Phone Number
847-825-8108
Fax Number
847-825-1774
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
036.133513 (Illinois)
Definition
Definition to come...
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