Individual
DAWN M GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4412 S PULASKI RD, CHICAGO, IL 60632-4011
(773) 847-3123
(773) 847-3778
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070016797
IL
225100000X
Physical Therapist
Primary
PT38367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619980
BCBS OF IL
IL
Enumeration date
11/13/2008
Last updated
11/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us