MEDICARE: ELIZABETH JANE BUSH O.D.

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	152W00000X	Optometrist	046010594	IL

General Provider Information

NPI Number	:	1821348343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH JANE BUSH O.D.

Provider Business Mailing Address
First Line	:	10434 S KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-2018
Country	:	US
Telephone Number	:	773-445-2700
Fax Number	:	773-445-2325

Provider Business Practice Location Address
First Line	:	10434 S KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-2018
Country	:	US
Telephone Number	:	773-445-2700
Fax Number	:	773-445-2325

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

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	09/12/2012

Similar Medicare Providers

1891739629 — PERSONALLY PAM LTD
Practice Location Address:

10436 S KEDZIE AVE
CHICAGO, IL
60655-2018

Practice Phone: 773-233-3337
Practice Fax: 773-233-5630

1982897005 — DR. GUILLERMO GAMBOA O.D.
Practice Location Address:

10434 S KEDZIE AVE
CHICAGO, IL
60655-2018

Practice Phone: 773-445-2700
Practice Fax: 773-445-2325

1104247519 — BUSH FAMILY EYE CARE, LLC
Practice Location Address:

10434 S KEDZIE AVE
CHICAGO, IL
60655-2018

Practice Phone: 773-445-2700
Practice Fax:

1598161432 — TIMELESS SMILES DENTAL
Practice Location Address:

10412 S KEDZIE AVE
CHICAGO, IL
60655-2018

Practice Phone: 773-233-1900
Practice Fax: 773-233-9967

1841096617 — PRECIOUS-DIAMOND SANDRE'A CHESSIER
Practice Location Address:

10452 S KEDZIE AVE # 4
CHICAGO, IL
60655-2018

Practice Phone: 205-534-4966
Practice Fax: 205-534-4966

1578626388 — DR. PEARLINE HAMPTON O.D.
Practice Location Address:

2663 N ELSTON AVE , #2661
CHICAGO, IL
60647-2018

Practice Phone: 773-394-7029
Practice Fax: 773-394-7040

Directions to “ ELIZABETH JANE BUSH O.D.” 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 © 2007-2026 (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.