Individual provider · Type 1 NPI
Edwin Bush Jr., CHIROPRACTOR
Chiropractor · Sycamore, IL
NPI number
1619038064
Active
Practice location
2900 Dekalb Ave
Sycamore, IL 60178
Mailing address
2900 Dekalb Ave.
Sycamore, IL 60178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038.005637 (IL) |
| Chiropractor Primary | 111N00000X | 038005637 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1619038064
Edwin Bush Jr., CHIROPRACTOR's National Provider Identifier is 1619038064, issued on Dec 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sycamore, IL. The record was last updated on Sep 5, 2017.