MEDICARE: DR. DANA COLLINS BUSSING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	036129143	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01116314, P01116314	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036129143	OTHER	IL	LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346455094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA COLLINS BUSSING M.D.

Provider Business Mailing Address
First Line	:	26895 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1268
Country	:	US
Telephone Number	:	702-899-0595
Fax Number	:	702-977-1496

Provider Business Practice Location Address
First Line	:	7435 W TALCOTT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3707
Country	:	US
Telephone Number	:	872-231-3162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	12/18/2025

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