Busch & Lawm Clinical Services, P.C.

LBN: Modify, P.C.
Busch & Lawm Clinical Services, P.C. is an health care organization with primary practice located at 2272 95Th St Ste 305 , Naperville IL 60564-8944. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Modify, P.C. can be contacted via phone (630) 753-9800, or through Busch, Lisa Mary via phone (630) 753-9800.

Contact Information

Primary practice address
2272 95Th St Ste 305 Naperville IL 60564-8944
Phone: (630) 753-9800
Fax: (630) 753-9798
Website:
Map and Directions
Authorized official contact:
Name: Busch, Lisa Mary PH.D.
Phone: (630) 753-9800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005399 Illinois

Profile Details

NPI number 1457479503
LBN Legal business name Modify, P.C.
DBA Doing business as Busch & Lawm Clinical Services, P.C.
Authorized official Busch, Lisa Mary PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 12th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457479503 NPPES
Illinois Other 09923724 BLUE CROSS BLUE SHIELD

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