NPI 1063404358

Gregory S. Bussell, MD

Practitioner Otolaryngology Physician Park Ridge, IL

Practice location

Address: 2604 Dempster St STE 501, Park Ridge, IL 60068-8429
Phone: (847) 674-5585

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 036-103560 (IL)

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Registry record

NPI: 1063404358
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2005
Record last updated: 9 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.