Individual
DR. ANDREE C. DE BUSTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5525 S PULASKI RD, CHICAGO, IL 60629
(312) 567-7500
Mailing address
5525 S PULASKI RD, CHICAGO, IL 60629-4400
(312) 567-7500
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036081805
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621253
BLUE SHIELD NUMBER
IL
05
—
036081805
—
IL
01
—
326170152
TAX ID
IL
01
—
IL3323019
MEDICARE PTAN
IL
Enumeration date
07/15/2005
Last updated
05/16/2018
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