Jason Michael Bussell, MSOM, L.AC.

NPI #1619137502 in Wilmette, Illinois

Provider Information

NPI Number: 1619137502
Entity Type: Individual
Name: Jason Michael Bussell, MSOM, L.AC.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: MSOM, L.AC.
Enumeration Date: Jun 13, 2008
Last Updated: Jun 13, 2008

Practice Location

Address: 415 1/2 4TH ST
City: Wilmette
State: Illinois
ZIP Code: 60091-2826
Phone: (847) 251-5225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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