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Organization
SAN PABLO MEDICAL CENTER
Active
Organization
SAN PABLO MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMER RUSTOM MD (MEDICAL DIRECTOR)
(773) 227-3500
Entity
Organization
Contact information
Practice address
2641 W DIVISION ST, CHICAGO, IL 60622-2851
(773) 227-3500
(773) 227-0432
Mailing address
2641 W DIVISION ST, CHICAGO, IL 60622-2851
(773) 227-3500
(773) 227-0432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36083101
IL
Other
Enumeration date
11/03/2006
Last updated
11/29/2012
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