Marjorie Buss
Individual provider Active NPI Counselor · Freeport, IL
NPI 1104473602 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1104473602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 421 W Exchange St
Freeport, IL 61032-4008 - Phone
- (815) 599-7300
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
421 W Exchange St
Freeport, IL 61032-4008
Mailing address
PO Box 813
Freeport, IL 61032-0813
Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.