Individual
STEPHEN BELMUSTAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N WOLFE ST, JEFFERSON SQUARE APARTMENTS, APARTMENT 543, MD 21205
(630) 956-0616
Mailing address
450 58TH PL, HINSDALE, IL 60521-4982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26046
NV
Other
Enumeration date
01/11/2016
Last updated
10/17/2024
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