Individual
GERALD REBUSTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4833 N. OLCOTT AVE.#501, HARWOOD HEIGHTS, IL 60706
(847) 532-3728
Mailing address
4833 N OLCOTT AVE UNIT 501, HARWOOD HEIGHTS, IL 60706-3566
(847) 532-3728
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
00275025
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041235012
REGISTERED PROFESSIONAL NURSE
IL
Enumeration date
09/23/2010
Last updated
09/23/2010
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