Individual
MAX JESUS BUSTILLO OROZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
Mailing address
2850 N SHERIDAN RD APT 705, CHICAGO, IL 60657-6140
(872) 340-5819
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125.083893
IL
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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