De Bustros, Andree C.

De Bustros, Andree C. is an individual health care provider with primary practice located at 5525 S Pulaski Rd , Chicago IL 60629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. De Bustros, Andree C. can be contacted via phone (312) 567-7500.

Contact Information

Primary practice address
5525 S Pulaski Rd Chicago IL 60629
Phone: (312) 567-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036081805 Illinois

Profile Details

NPI number 1932108545
LBN Legal business name De Bustros, Andree C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated May 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932108545 NPPES
Illinois Other IL3323019 MEDICARE PTAN
Illinois MEDICAID 036081805 MEDICARE PTAN
Illinois Other 326170152 MEDICARE PTAN
Illinois Other 01621253 MEDICARE PTAN

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