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Individual

PAUL DELBUSTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2850 W 95TH ST, SUITE 200, EVERGREEN PARK, IL 60805-2735
(708) 423-1130
(708) 423-3610
Mailing address
2850 W 95TH ST, SUITE 200, EVERGREEN PARK, IL 60805-2735
(708) 423-1130
(708) 423-3610

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036083298
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632140
BCBS
IL
05
036083298
IL
01
66003637
RR MEDICARE
IL
Enumeration date
09/13/2006
Last updated
08/30/2010
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