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MR. EDWIN BUSH JR. CHIROPRACTOR
NPI 1619038064
Chiropractor in Sycamore, IL

Active since December 12, 2006Accepts Medicare Assignment
2900 DEKALB AVE, SYCAMORE, IL 60178(815) 739-2232 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Edwin Bush Jr. Chiropractor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWIN BUSH JR. CHIROPRACTOR (NPI 1619038064) is an individual chiropractor in Sycamore, Illinois, licensed in Illinois (038005637) and active in the NPI registry since December 2006. He is a graduate of National College Of Chiropractic (1986).

NPPES Registry Identity

NPI1619038064
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. EDWIN BUSH JR.Credential: CHIROPRACTOR
Location Address2900 DEKALB AVESycamore, IL 60178
Mailing Address2900 Dekalb Ave.Sycamore, IL 60178 · (815) 758-2911 · Fax (815) 758-1877
Phone(815) 739-2232
Sole ProprietorYes
Medical School CMSNational College Of ChiropracticGraduated 1986
Enumeration DateDecember 12, 2006
Last NPPES UpdateSeptember 5, 2017
✔ NPI 1619038064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038005637
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 038.005637 (IL)
2900 DEKALB AVE, Sycamore, IL 60178
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Other Identifiers 1

Medicare ID-Type Unspecified759640IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Edwin Bush Jr. Chiropractor is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486550647
PECOS Enrollment IDI20031209000488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Bush's NPI number?

The NPI number for Edwin Bush is 1619038064. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Edwin Bush located?

Edwin Bush practices at 2900 Dekalb Ave, Sycamore, IL 60178. The listed phone number is (815) 739-2232.

What is Edwin Bush's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Edwin Bush enrolled in Medicare?

Yes. Edwin Bush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edwin Bush was last updated on September 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.