Individual
YAZMIN RUSTOMJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-4200
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.081820
IL
208M00000X
Hospitalist Physician
Primary
036.179176
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2021
Last updated
05/01/2026
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