Dr Lisa Mary Busch, PHD | |
2272 W 95th St, Unit 305, Naperville, IL 60564-8912 | |
(630) 753-9800 | |
(630) 753-9798 |
Full Name | Dr Lisa Mary Busch |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 28 Years |
Location | 2272 W 95th St, Naperville, Illinois |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235325978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071005399 (Illinois) | Secondary |
103TP0016X | Psychologist - Prescribing (medical) | 074.000017 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Modify Pc | 8628355963 | 4 |
Entity Name | Modify Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457479503 PECOS PAC ID: 8628355963 Enrollment ID: O20170515001583 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Mary Busch, PHD 2272 W 95th St, Unit 305, Naperville, IL 60564-8912 Ph: (630) 753-9800 | Dr Lisa Mary Busch, PHD 2272 W 95th St, Unit 305, Naperville, IL 60564-8912 Ph: (630) 753-9800 |
Noelia Ana Belen Prencesvalle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2603 S Washington St Ste 170, Naperville, IL 60565 Phone: 331-472-7132 | |
Dr. Stephanie Spackey, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 445 W Jackson Ave Ste 206, Naperville, IL 60540 Phone: 630-420-2596 Fax: 630-420-2796 | |
Dr. Lorna Helene London, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 643 S Washington St, Naperville, IL 60540 Phone: 630-983-0977 Fax: 630-375-2812 | |
Sue Bae, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1754 N Washington St, Suite 104a, Naperville, IL 60563 Phone: 630-245-0010 Fax: 630-245-1444 | |
Dr. Anjali Soni, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1979 N Mill St, Suite 211, Naperville, IL 60563 Phone: 630-428-2344 | |
Dr. Cynthia Ann Brouillard, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 140 N Wright St, Naperville, IL 60540 Phone: 630-305-6039 | |
Maria Rago, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 S Washington St, Naperville, IL 60540 Phone: 630-637-9300 |