Organization
AFFILIATED CHICAGO PHYSICIANS
Active
Other names
Affiliated Chicago Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASER RUSTOM MD (OWNER)
(773) 395-9400
Entity
Organization
Contact information
Practice address
4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
(773) 237-0755
(773) 237-0785
Mailing address
4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
(773) 237-0755
(773) 237-0785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
05/31/2006
Last updated
09/11/2025
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