Individual
THOMAS A. MUSTOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
737 N MICHIGAN AVE, SUITE 1500, CHICAGO, IL 60611-2615
(312) 788-2560
(312) 788-2563
Mailing address
737 N MICHIGAN AVE, SUITE 1500, CHICAGO, IL 60611-2615
(312) 788-2560
(312) 788-2563
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036082162
IL
Other
Enumeration date
07/11/2006
Last updated
07/28/2014
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