Charles A Bush-Joseph in Chicago - Sports Medicine
Charles A Bush-Joseph - NPI 1821077736
Charles A Bush-Joseph is a Sports Medicine in Chicago, Illinois. Charles A Bush-Joseph practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Charles A Bush-Joseph is 1821077736. The last update date is 2023-09-18.
Charles A Bush-Joseph's current location address is 1611 W Harrison St Ste 400, Chicago, Illinois. You can contact this provider via phone number 8776326637 and fax number 7084095179. The mailing address for Charles A Bush-Joseph is 1611 W Harrison St Ste 400, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles A Bush-Joseph |
|---|---|
| Address | 1611 W Harrison St Ste 400, Chicago, Illinois |
| Phone Number | 8776326637 |
| Fax Number | 7084095179 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821077736 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2023-09-18 |
Provider Mailing Address Detail
| Address | 1611 W Harrison St Ste 400 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606124861 |
| Phone Number | 8776326637 |
| Fax Number | 7084095179 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 01079047A |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4120999 | AETNA | ||
| 207073 | IL | MEDICARE PTAN LOCALITY 15 | |
| 207067 | IL | MEDICARE PTAN LOCALITY 16 | |
| P00202615 | RAILROAD MEDICARE | ||
| DA4902 | RAILROAD MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Charles A Bush-Joseph by the Centers for Medicare & Medicaid Services?
The Charles A Bush-Joseph has been issued the NPI (National Provider Identifier) 1821077736. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charles A Bush-Joseph is located?
The Charles A Bush-Joseph is situated at the following address: 1611 W Harrison St Ste 400, Chicago, IL, 606124861.
What is Charles A Bush-Joseph's area of expertise and its corresponding taxonomy classification?
The Charles A Bush-Joseph's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.
When was the Charles A Bush-Joseph's 1821077736 issued?
The Charles A Bush-Joseph's 1821077736 was issued on 2006-01-10.
As of what date was the information regarding Charles A Bush-Joseph, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles A Bush-Joseph, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-18.