Mr. Edwin Bush Jr., CHIROPRACTOR

Individual provider Sports Physician Chiropractor · NPI 1619038064

Mr. Edwin Bush Jr., CHIROPRACTOR is a Chiropractic in Sycamore, Illinois. Graduated from National College of Chiropractic in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying: 40
Trained at: National College of Chiropractic
Licensed in: IL
In the registry since: 2006
Specialties on file: 2

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Practice location Address checks out

2900 Dekalb Ave
Sycamore, IL 60178
Phone: (815) 739-2232

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary)	Taxonomy 111N00000X · Licence 038005637 (IL)
Sports Physician Chiropractor	Taxonomy 111NS0005X · Licence 038.005637 (IL)

Record details

NPI number	1619038064
Entity type	Individual (Type 1)
Gender	Male
Credentials	CHIROPRACTOR
Sole proprietor	Yes
NPI enumerated	December 12, 2006
Last updated in NPPES	September 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CHIROPRACTIC
Medical school	NATIONAL COLLEGE OF CHIROPRACTIC
Graduated	1986 (40 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount