Healthcare Provider Details

I. General information

NPI: 1962050971
Provider Name (Legal Business Name): JESSICA ERIN BUESING FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27790 W HIGHWAY 22 STE 37
BARRINGTON IL
60010-2396
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 847-382-4406
  • Fax: 847-382-7098
Mailing address:
  • Phone: 847-390-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number209019944
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: