William Bush, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043.070635 Issued in IL

Practice address

5744 W Midway Park
Chicago, IL 60644-1818

Phone

(773) 261-6876

NPI assigned

Nov 16, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1689116089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 W MIDWAY PARK",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441818",
            "telephone_number": "773-261-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5744 W MIDWAY PARK",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441818",
            "telephone_number": "773-261-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "WILLIAM",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.070635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Bush, PA-C
• Patricia Rochelle Bush, MD
• Reagan Bush, DPT
• Staci Bush, PA-C
• Susan Marie Bush, PSYD
• William Jerome Bush, PA
• Andrea Bushala, MSW
• Omar Bushara
• Annika Marie Bushman, M.ED, LPC
• Shannon Bushman

• Licensed Practical Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.