Organization
GALILEE MEDICAL CENTER, S.C.
Active
Other names
Galilee Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASER RUSTOM MD (PRESIDENT)
(773) 237-3500
Entity
Organization
Contact information
Practice address
4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
(773) 309-6740
(773) 237-6606
Mailing address
4903 W FULLERTON AVE, CHICAGO, IL 60639-2548
(773) 237-0755
(773) 237-0785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/12/2006
Last updated
02/01/2023
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