Jennifer Bussell in Riverside - Internal Medicine

Jennifer Bussell - NPI 1740219567

Jennifer Bussell is a Internal Medicine in Riverside, Illinois. Jennifer Bussell practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jennifer Bussell is 1740219567. The last update date is 2007-07-08.

Jennifer Bussell's current location address is 3722 Harlem Ave Ste 101, Riverside, Illinois. You can contact this provider via phone number 7087836500. The mailing address for Jennifer Bussell is 3722 Harlem Ave Ste 101, Riverside, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Bussell
Address 3722 Harlem Ave Ste 101, Riverside, Illinois
Phone Number 7087836500
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740219567
Provider Enumeration Date 2006-07-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3722 Harlem Ave Ste 101
City Riverside
State Illinois (IL)
Post Code 6054623310
Phone Number 7087836500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 036-096063
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36096063 IL --

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FAQs about Jennifer Bussell

What is the unique provider identifier assigned to Jennifer Bussell?

The Jennifer Bussell has been issued the NPI (National Provider Identifier) 1740219567 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Jennifer Bussell's physical address?

The Jennifer Bussell is physically located at 3722 Harlem Ave Ste 101, in the city of Riverside, IL, with the postal code 6054623310.

What is Jennifer Bussell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jennifer Bussell is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

When did Jennifer Bussell receive its 1740219567 assignment?

The Jennifer Bussell was assigned its 1740219567 on 2006-07-02, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Jennifer Bussell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jennifer Bussell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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