| NPI | 1710931555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREE C DE BUSTROS M.D./Sole Proprietor 708-532-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036-081805) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-12-03 |