DR. AMANDA JO BUSH M.D. NPI 1093950941

NPI Information

  • NPI: 1093950941
  • Provider Name: DR. AMANDA JO BUSH, M.D.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1700 HENRY LUCKOW LN
    BELVIDERE, IL
    ZIP 61008
  • Phone: (779) 696-8650

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NPI Details

DR. Amanda Jo Bush, M.D. is a gynecology obstetrics gynecology in Belvidere, IL with 17 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Amanda Jo Bush, M.D. NPI is 1093950941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1700 HENRY LUCKOW LN
BELVIDERE, IL
ZIP 61008
Phone: (779) 696-8650

The NPI 1093950941 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2008 and was last updated on 1/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyN3526TEXASNo
2207VG0400XObstetrics & GynecologyGynecologyMB0755263AMASSACHUSETTSNo
3207VG0400XObstetrics & GynecologyGynecology036.125964ILLINOISNo
4207VG0400XObstetrics & GynecologyGynecologyN3526TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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