Individual
MRS. MARY JEAN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN C
Contact information
Practice address
2123 WESLEY AVE, EVANSTON, IL 60201
(773) 593-7379
(847) 328-7494
Mailing address
6332 N KEYSTONE, CHICAGO, IL 60646
(773) 283-0114
(773) 283-6298
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
06/07/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us