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NPI Code Detail

MEDICARE: MRS. MARIA PAOLA CRUZ BUSS

MEDICARE: MRS. MARIA PAOLA CRUZ BUSS
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
1367500000XCertified Registered Nurse Anesthetist209030958IL

General Provider Information

NPI Number : 1396426524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA PAOLA CRUZ BUSS
Provider Business Mailing Address
First Line : 25218 BLAKELY DR
Second Line :
City : PLAINFIELD
State : IL
Zip : 60585-6750
Country : US
Telephone Number : 630-805-2331
Fax Number :
Provider Business Practice Location Address
First Line : 1620 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3801
Country : US
Telephone Number : 312-942-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 01/13/2026

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