IndividualActive
Busole Massunken, MD
NPI 1831927250 · Behavioral Neurology & Neuropsychiatry Physician · Chicago, IL
Provider details
- NPI number
- 1831927250
- Entity type
- Individual
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 125084893 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
645 S Central Ave
Chicago, IL 60644-5059
Phone: (773) 626-4300
Approximate (ZIP-level) locationGet directions
Mailing address
645 S Central Ave
Chicago, IL 60644-5059
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-07-28
- Certified
- 2024-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.