# MARSHALL F. BRUSTEIN M.D.

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

## Provider details

- **NPI number:** 1801046958
- **Authorized official:** DR. MARSHALL F. BRUSTEIN M.D. (OWNER)
- **Authorized official phone:** (217) 872-8204

## Contact information

- **Practice address:** 304 W HAY ST, SUITE 112, DECATUR, IL 62526-6328
- **Practice address phone:** (217) 872-8204
- **Mailing address:** 304 W HAY ST, SUITE 112, DECATUR, IL 62526-6328
- **Mailing address phone:** (217) 872-8204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036104593 | IL | Yes |
| 225X00000X | Occupational Therapist | 056005019 | IL | — |
| 225X00000X | Occupational Therapist | 056006099 | IL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 036104593 | IL | — |

## Other

- **Enumeration date:** 09/25/2008
- **Last updated:** 09/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036104593 | — | IL |