NPI 1124131891

William J Bush, DPM

Practitioner Podiatrist Rockford, IL

Practice location

Address: 324 Roxbury Rd, Rockford, IL 61107-5090
Phone: (815) 398-9491
Fax: (815) 381-7498
Mailing address: PO Box 735263, Chicago, IL 60673-5263

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 016-003692 (IL)

Other Podiatrist providers in Illinois →

Registry record

NPI: 1124131891
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2006
Record last updated: 21 Aug 2023

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.