Bussell, Gregory S.
Bussell, Gregory S. is an individual health care provider with primary practice located at 2604 Dempster St Ste 501 , Park Ridge IL 60068-8429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bussell, Gregory S. can be contacted via phone (847) 674-5585.Contact Information
Primary practice address
2604 Dempster St Ste 501
Park Ridge IL 60068-8429
Phone: (847) 674-5585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036-103560 | Illinois |
Profile Details
| NPI number | 1063404358 |
|---|---|
| LBN Legal business name | Bussell, Gregory S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | May 9th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063404358 | NPPES |
| Illinois | MEDICAID | 036-103560 |
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