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Individual

DR. DARRELL RUST

Active
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Individual

DR. DARRELL RUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036069017
IL
207P00000X
Emergency Medicine Physician
336.033013
IL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
036.069017
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036069017001
TRICARE
05
036069017001
IL
01
93211
BCWELLMARK WEST
01
93234
BCWELLMARK 7TH
01
IL0181
JOHN DEERE
01
P00287227
RR MEDICARE
Enumeration date
02/09/2006
Last updated
02/12/2024
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