Individual
MR. DEMETRIO HAMOY BUSTALINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4507 LINDEN LN, ROLLING MEADOWS, IL 60008-3427
(224) 410-7520
Mailing address
4507 LINDEN LN, ROLLING MEADOWS, IL 60008-3427
(224) 410-7520
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
14242295
IL
372600000X
Adult Companion
14242295
IL
376J00000X
Homemaker
14242295
IL
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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