Search › Illinois › 1041C0700X
Nicole Busch
NPI 1437470879 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2101 Fox Dr Ste 102
Champaign, IL 61820 - Phone
- (217) 213-3405
- Fax
- (217) 403-9557
- Clinicians at this address
- 6
Additional practice sites
- 202 W Park Ave, Champaign, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Sex
- Female
- Record last updated
- 2025-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois