| Doctor Name: | DR. AMANDA JO BUSH |
| NPI Number: | 1093950941 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | N3526 |
| Business Practice Address: | 1700 Henry Luckow Ln Belvidere, IL - 610081702 |
| Business Phone Number: | 7796968650 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 1567, Swedishamerican Medical Group ROCKFORD |
| State: | IL |
| Postal Code: | 611100067 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2008 |
| NPI Last Update Date: | 07/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | N3526 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |