Individual
DR. ALLEN N GUSTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, DEPARTMENT OF ANESTHESIOLOGY, LOYOLA, MAYWOOD, IL 60153
(773) 294-4355
(773) 294-4355
Mailing address
2160 S FIRST AVE, DEPARTMENT OF ANESTHESIOLOGY, LOYOLA UNIVERSITY, MAYWOOD, IL 60153
(773) 294-4355
(773) 294-4355
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0021357
AL
207L00000X
Anesthesiology Physician
0055948
GA
207L00000X
Anesthesiology Physician
Primary
036124344
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036124344
IL
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
036124344
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501700402E
—
GA
Enumeration date
07/05/2006
Last updated
03/14/2025
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