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Individual

CELALETTIN USTUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1725 W HARRISON ST STE 1010, CHICAGO, IL 60612
(312) 942-5904
(312) 942-3194
Mailing address
1725 W HARRISON ST STE 1010, CHICAGO, IL 60612-3841
(312) 942-5904
(312) 942-3194

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036-147386
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
293559945A
GA
05
G55993
SC
Enumeration date
09/07/2006
Last updated
09/21/2018
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