Individual
HAMID RUSTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
4050 N MOZART, CHICAGO, IL 60618
(773) 691-0086
Mailing address
4050 N MOZART, CHICAGO, IL 60618
(773) 691-0086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.016338
IL
101YP2500X
Professional Counselor
Primary
180.016338
IL
Other
Enumeration date
04/25/2024
Last updated
04/24/2025
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