Individual
TREVOR R KUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036140459
IL
Other
Enumeration date
07/01/2013
Last updated
06/16/2016
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