Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 036-147386 | IL |
NPI | 1013010487 |
---|---|
Provider Name | Celalettin Ustun |
First Address | Chicago, IL 60612-3841 |
Second Address | Chicago, IL 60612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 21/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
293559945A | (05) | GA |
G55993 | (05) | SC |
I29030 | (02) |