Individual
EMILY CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
HS000240L
PA
207RG0100X
Gastroenterology Physician
0361797777
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0361797777
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2023
Last updated
06/04/2026
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