Guadalupe Bustamante in Chicago - Family Medicine
Guadalupe Bustamante - NPI 1982692158
Guadalupe Bustamante is a Family Medicine in Chicago, Illinois. Guadalupe Bustamante practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Guadalupe Bustamante is 1982692158. The last update date is 2010-12-16.
Guadalupe Bustamante's current location address is 4007 W 63rd St, Chicago, Illinois. You can contact this provider via phone number 7737672266 and fax number 7737673933. The mailing address for Guadalupe Bustamante is 4007 W 63rd St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guadalupe Bustamante |
|---|---|
| Address | 4007 W 63rd St, Chicago, Illinois |
| Phone Number | 7737672266 |
| Fax Number | 7737673933 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982692158 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2010-12-16 |
Provider Mailing Address Detail
| Address | 4007 W 63rd St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606294605 |
| Phone Number | 7737672266 |
| Fax Number | 7737673933 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36088384 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36088384 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Guadalupe Bustamante by the Centers for Medicare & Medicaid Services?
The Guadalupe Bustamante has been issued the NPI (National Provider Identifier) 1982692158, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Guadalupe Bustamante's facilities are situated?
The facilities of Guadalupe Bustamante are physically located at the following address: 4007 W 63Rd St, Chicago, IL, 606294605.
What is Guadalupe Bustamante's area of expertise and its corresponding taxonomy classification?
The Guadalupe Bustamante's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1982692158 to Guadalupe Bustamante?
The Guadalupe Bustamante received its 1982692158 assignment from the Centers for Medicare & Medicaid Services on 2005-10-11.
As of what date were the Guadalupe Bustamante's details last updated?
The information pertaining to the Guadalupe Bustamante, including its address, specialty, and other details, was most recently updated on 2010-12-16.