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Contact Information

DARRELL RUST, MD
2701 17TH ST
ROCK ISLAND, IL61201-5351
 Phone: 309-779-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DARRELL RUST · (Male)

NPI Number 1811960933
Status Active
Credentials MD
Entity Individual
Enumeration date 02/09/2006
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.069017
  • IL License # 036069017
  • IL License # 336.033013
  • IL Medicaid 036069017001
  • Other 93234 BCWELLMARK 7TH
  • Other 93211 BCWELLMARK WEST
  • Other IL0181 JOHN DEERE
  • Other P00287227 RR MEDICARE
  • Other 036069017001 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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