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General NPI Number Information
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NPI Number | 1972189975
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Entity Type | Individual
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Provider Name | ALLANA KATHLEEN BUSH NP-C, RN
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Gender | Female
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Dates
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Enumeration Date | 03/20/2021
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1025 W EVERETT RD STE 2
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City | LAKE FOREST
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State | IL
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Zip | 60045-2668
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Country | US
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Telephone | 224-436-8006
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Fax | 815-331-1257
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Provider Business Mailing Address
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Address Line | 1025 W EVERETT RD STE 2
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City | LAKE FOREST
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State | IL
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Zip | 60045-2668
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Country | US
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Telephone | 224-436-8006
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Fax | 815-331-1257
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 277.003740
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61154896
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14329-33
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95022797
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202102459NP-PP
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.543152
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61154884
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201705327RN
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License Number State | OR
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95016976
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1106418-30
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License Number State | WI
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