# ENDOCRINE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710931555
- **Authorized official:** ANDREE C DE BUSTROS M.D. (M.D./SOLE PROPRIETOR)
- **Authorized official phone:** (708) 532-6490

## Contact information

- **Practice address:** 6703 159TH ST, SUITE 107, TINLEY PARK, IL 60477-1781
- **Practice address phone:** (708) 532-6490
- **Practice address fax:** (708) 532-6262
- **Mailing address:** PO BOX 1090, MATTESON, IL 60443-4090
- **Mailing address phone:** (708) 747-5850
- **Mailing address fax:** (708) 747-9991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 036-081805 | IL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 12/03/2009
