Individual
KARIN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2020 OGDEN AVE, SUITE 120, AURORA, IL 60504-5894
(630) 375-2852
(630) 375-2838
Mailing address
1256 WATERFORD DRIVE, SUITE 230, AURORA, IL 60504
(630) 499-2404
(630) 499-2399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-083067
IL
Other
Enumeration date
09/22/2005
Last updated
07/07/2017
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