Search › Illinois › 171100000X
Jason Bussell, MSOM, L.AC
NPI 1619137502 · on the registry since 2008
Practice
- Address
- 415 1/2 4th St
Wilmette, IL 60091 - Phone
- (847) 251-5225
- Fax
- (847) 251-5456
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-13
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