MEDICARE: ANDREA BUSHALA MSW

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	1041C0700X	Clinical Social Worker	149.017872	IL

General Provider Information

NPI Number	:	1023556396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA BUSHALA MSW

Provider Business Mailing Address
First Line	:	3705 N ELSTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-4309
Country	:	US
Telephone Number	:	773-570-0043
Fax Number	:

Provider Business Practice Location Address
First Line	:	3705 N ELSTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-4309
Country	:	US
Telephone Number	:	773-570-0043
Fax Number	:

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

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	02/07/2017

Similar Medicare Providers

1154322865 — DR. SALUD MERENE MARTINEZ MD
Practice Location Address:

3701 N ELSTON AVE
CHICAGO, IL
60618-4309

Practice Phone: 773-478-4411
Practice Fax: 773-478-4473

1326061458 — CHICAGO HEALTH INC.
Practice Location Address:

3701 N ELSTON AVE , 2ND FLR
CHICAGO, IL
60618-4309

Practice Phone: 773-478-7064
Practice Fax: 773-478-7136

1467759993 — BELMA CORPORATION
Practice Location Address:

3701 N ELSTON AVE
CHICAGO, IL
60618-4309

Practice Phone: 773-478-7064
Practice Fax:

1457983868 — PATRICIA PENA THERAPY LLC
Practice Location Address:

3705 N ELSTON AVE
CHICAGO, IL
60618-4309

Practice Phone: 507-556-7289
Practice Fax:

1366034944 — ERIK BROWN MS CCC-SLP
Practice Location Address:

42 W MADISON ST
CHICAGO, IL
60602-4309

Practice Phone: 773-553-1000
Practice Fax:

1821058801 — DR. MICHAEL L. CONNOLLY D.D.S.
Practice Location Address:

6200 N HIAWATHA AVE , SUITE 650
CHICAGO, IL
60646-4309

Practice Phone: 773-286-9700
Practice Fax:

Directions to “ ANDREA BUSHALA MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.