Jaquez Busby

Clinical Social Worker · Waukegan, IL

Individual Active NPI

NPI number 1841062569

Practice location

3002 Grand Ave
Waukegan, IL 60085-2321
Phone
(847) 377-8088

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NPI record

NPI
1841062569
Entity type
Individual (Type 1)
Enumeration date
October 25, 2023
Last updated
June 13, 2025
Certified
June 13, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —
Social Worker 104100000X — —

Mailing address

3969 Parker Ave
Saint Louis, MO 63116-3717

About Jaquez Busby

Jaquez Busby is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 3002 Grand Ave, Waukegan, IL 60085-2321. The NPI number 1841062569 was assigned on October 25, 2023 and the record was last updated on June 13, 2025.

Frequently asked questions

What is the NPI number of Jaquez Busby?

The NPI number is 1841062569.

What is the phone number of Jaquez Busby?

The phone number listed for the practice location is (847) 377-8088.

Where is Jaquez Busby located?

3002 Grand Ave, Waukegan, IL 60085-2321.

What is the taxonomy code for Jaquez Busby?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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