Organization
UNIVERSITY OF ILLINOIS AT CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILHERME GIUSTI MD (RESIDENT)
(507) 884-9439
Entity
Organization
Contact information
Practice address
835 S WOLCOTT AVE # MC844, CHICAGO, IL 60612-3748
(312) 996-9858
Mailing address
1440 SHERIDAN RD UNIT 405, WILMETTE, IL 60091-1856
(847) 728-0893
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
125058950
IL
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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