Provider Demographics
NPI:1346455094
Name:BUSSING, DANA COLLINS (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:COLLINS
Last Name:BUSSING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:401 N MICHIGAN AVENUE
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4264
Mailing Address - Country:US
Mailing Address - Phone:312-635-0973
Mailing Address - Fax:813-290-9691
Practice Address - Street 1:512 E OGDEN AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1228
Practice Address - Country:US
Practice Address - Phone:630-323-4400
Practice Address - Fax:630-323-4583
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036129143208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036129143OtherLICENSE
ILP01116314, P01116314OtherRAILROAD MEDICARE
IL036129143Medicaid
IL036129143OtherLICENSE
IN200933700Medicaid
OH343785OtherAMERIGROUP
KY7100064420Medicaid
000000590446OtherANTHEM