Gregory S. Bussell M.D.

NPI 1063404358 - Otolaryngology - 207Y00000X

NPI Details
NPI 1063404358
Gender Male
Enumeration Date 08/22/2005
Last Updated 08/03/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
8780 W GOLF RD
SUITE 200
NILES IL, 60714-5602, US
Phone (847) 674-5585
Fax (847) 824-7453
Business Location
8780 W GOLF RD
SUITE 200
NILES IL, 60714-5602, US
Phone (847) 674-5585
Fax (847) 824-7453
Toxanomy
Taxonomy Code 207Y00000X
License State Illinois
License Number 036-103560
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According to our database, Dr. Gregory S. Bussell M.D. NPI is 1063404358, taxonomy code is 207Y00000X and license number is 036-103560, license state is located at Illinois. Gregory S. Bussell M.D. physically located at 8780 W Golf Rd, Niles IL, 60714-5602. NPI Number Gregory S. Bussell M.D. has the Individual type.

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1063404358 NPI number is provided on an as is basis without warranty of any kind. 1063404358 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory S. Bussell M.D. are for informational purposes only.