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Organization
RUSTUM HEALTH NETWORK
Active
Organization
RUSTUM HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMER RUSTUM MD (OWNER)
(773) 283-1802
Entity
Organization
Contact information
Practice address
2827 W CERMAK RD, CHICAGO, IL 60623-3513
(773) 823-1802
(773) 823-1814
Mailing address
PO BOX 220278, CHICAGO, IL 60622-0278
(773) 823-1802
(773) 823-1814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036044669
IL
207R00000X
Internal Medicine Physician
Primary
036083101
IL
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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