Individual
BERNARD J HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 N WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-2048
Mailing address
DEPARTMENT 4432, CAROL STREAM, IL 60122-4432
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036088265
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088265
—
IL
01
—
P00363138
RAILROAD MEDICARE
IL
Enumeration date
11/08/2006
Last updated
06/01/2011
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