| Doctor Name: | MARY BETH BUSH |
| NPI Number: | 1508935081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 070.004653 |
| Business Practice Address: | 875 Roosevelt Rd Glen Ellyn, IL - 601376101 |
| Business Phone Number: | 6304697858 |
| Business Fax Number: | 6304690098 |
| Mailing Address: | 334 Greenfield Ave, GLEN ELLYN |
| State: | IL |
| Postal Code: | 601375337 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 08/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070.004653 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |