Reema Busoul, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033146 Issued in IL

Practice address

2101 E 71St St
Chicago, IL 60649-2143

Phone

(177) 324-1700

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1750958377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 PERSHING AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074411",
            "telephone_number": "817-247-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492143",
            "telephone_number": "177-324-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSOUL",
        "first_name": "REEMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Buskirk, AU.D.
• Stephen Buskirk, OTD
• Sandra L Busko, N.P.
• Natalie Buslach
• Arielle Buslovich Segal, OTD, OTR
• Mandi Buss, LCSW
• Maria Paola Cruz Buss
• Teresa Rose Buss, BCBA
• Brett T Bussan
• Marion Helga Bussay, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.