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Contact Information

MARY J GUSTAFSON, RN C
2123 WESLEY AVE
EVANSTON, IL60201
 Phone: 773-593-7379
 Fax: 847-328-7494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for MARY J GUSTAFSON · (Female)

NPI # 1851594709
Status Active
Credentials RN C
Entity Individual
Enumeration date 06/07/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers Not Available
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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