Individual
MR. HECTOR O BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1823 WEST CHICAGO AVENUE, CHICAGO, IL 60622
(312) 733-1700
(312) 733-1826
Mailing address
1823 WEST CHICAGO AVENUE, CHICAGO, IL 60622
(312) 733-1700
(312) 733-1826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036046086
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036046086
—
IL
Enumeration date
07/06/2006
Last updated
09/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us