Individual
DR. CARL JOSEPH GUSTAS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 W ADAMS ST, CHICAGO, IL 60661-3604
(312) 506-0900
Mailing address
600 W ADAMS ST, CHICAGO, IL 60661-3604
(312) 506-0900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36112922
IL
Other
Enumeration date
05/04/2006
Last updated
05/20/2011
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