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Contact Information

ALLEN N GUSTIN JR, MD
2160 S FIRST AVE
DEPARTMENT OF ANESTHESIOLOGY, LOYOLA
MAYWOOD, IL60153
 Phone: 773-294-4355
 Fax: 773-294-4355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Hospice and Palliative Medicine

207LH0002X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ALLEN N GUSTIN JR · (Male)

NPI # 1134159825
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 03/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 0021357
  • GA License # 0055948
  • IL License # 036124344
  • GA Medicaid 501700402E
Hospital affiliation(s)
  • LOYOLA UNIVERSITY MEDICAL CENTER - (Acute Care)
    2160 S 1ST AVENUE
    MAYWOOD, IL 60153
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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