Mark B Busch, OD

NPI #1124167937 in Country Club Hills, Illinois

Provider Information

NPI Number: 1124167937
Entity Type: Individual
Name: Mark B Busch, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 6, 2007
Last Updated: Mar 20, 2017

Practice Location

Address: 4005 167TH ST
City: Country Club Hills
State: Illinois
ZIP Code: 60478-2070
Phone: (708) 799-0920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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