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NPI Profile for PAUL M DE BUSTROS in ORLAND PARK, IL.
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Retina Specialist |
207WX0107X | 18 | Physician/Ophthalmology | |
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology |
| NPI # | 1487230876 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/24/2021 | |
| Last updated | 06/30/2025 - About 11 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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PAUL M DE BUSTROS
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PAUL M DE BUSTROS