Individual
RONALD BELUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
2160 S FIRST AVE, (BLDG. 103, RM. 3102), MAYWOOD, IL 60153
(708) 216-6462
(708) 216-1249
Mailing address
2160 S FIRST AVE, (BLDG. 103, RM. 3102), MAYWOOD, IL 60153
(708) 216-6462
(708) 216-1249
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36059079
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36059079
—
IL
Enumeration date
01/26/2006
Last updated
08/14/2009
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