MEDICARE: DR. KENNETH GARY BUSCH MD

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	2084P0800X	Psychiatry Physician		IL

General Provider Information

NPI Number	:	1063694362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH GARY BUSCH MD

Provider Business Mailing Address
First Line	:	30 N MICHIGAN AVE
Second Line	:	SUITE 1916
City	:	CHICAGO
State	:	IL
Zip	:	60602-3402
Country	:	US
Telephone Number	:	312-236-2989
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 N MICHIGAN AVE
Second Line	:	SUITE 1916
City	:	CHICAGO
State	:	IL
Zip	:	60602-3402
Country	:	US
Telephone Number	:	312-236-2989
Fax Number	:

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

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	11/29/2007

Similar Medicare Providers

1922611326 — TRACI ZUNIGA
Practice Location Address:

30 N MICHIGAN AVE
CHICAGO, IL
60602-3402

Practice Phone: 312-279-9981
Practice Fax:

1346206844 — MARC JOSHUA KLEINBERG MD
Practice Location Address:

30 N MICHIGAN AVE , SUITE 607
CHICAGO, IL
60602-3402

Practice Phone: 312-726-3917
Practice Fax: 312-726-0474

1366436131 — DR. JOHN M. WRAY D.P.M.
Practice Location Address:

30 N MICHIGAN AVE , SUITE 1129
CHICAGO, IL
60602-3402

Practice Phone: 312-372-0919
Practice Fax: 312-373-1606

1598747461 — MS. MARY LOU PETTY MSW LCSW
Practice Location Address:

30 N MICHIGAN AVE , STE 1004
CHICAGO, IL
60602-3402

Practice Phone: 312-236-4364
Practice Fax:

1457333809 — DR. AUGUST J CWIK PSY.D.
Practice Location Address:

30 N MICHIGAN AVE , SUITE 1900
CHICAGO, IL
60602-3402

Practice Phone: 312-346-6638
Practice Fax: 847-398-6348

1881677730 — DR. EDEN TAKHSH MD
Practice Location Address:

30 N MICHIGAN AVE , SUITE 1410
CHICAGO, IL
60602-3402

Practice Phone: 312-726-7272
Practice Fax: 312-899-8382

1306818737 — MRS. LYNNE MARIE MEYERS-KALISH L.C.P.C.
Practice Location Address:

30 N MICHIGAN AVE , #917
CHICAGO, IL
60602-3402

Practice Phone: 312-849-3990
Practice Fax: 312-849-3997

Directions to “ DR. KENNETH GARY BUSCH MD” 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.