Dr Guadalupe Bustamante, MD | |
4007 W 63rd St, Chicago, IL 60629-4605 | |
(773) 767-2266 | |
(773) 767-4380 |
Full Name | Dr Guadalupe Bustamante |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 34 Years |
Location | 4007 W 63rd St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982692158 | NPI | - | NPPES |
036088384 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036088384 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
Macneal Hospital | Berwyn, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cavero Medical Services Ltd | 1557718699 | 5 |
Entity Name | Cavero Medical Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639184419 PECOS PAC ID: 6608892948 Enrollment ID: O20051017000672 |
Entity Name | Cano Health Illinois, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558930537 PECOS PAC ID: 4486059573 Enrollment ID: O20210827001812 |
Entity Name | Cavero Medical Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801673199 PECOS PAC ID: 1557718699 Enrollment ID: O20231110000094 |
Mailing Address | Practice Location Address |
---|---|
Dr Guadalupe Bustamante, MD 4007 W 63rd St, Chicago, IL 60629-4605 Ph: (773) 767-2266 | Dr Guadalupe Bustamante, MD 4007 W 63rd St, Chicago, IL 60629-4605 Ph: (773) 767-2266 |
Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300 | |
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102 | |
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612 | |
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 | |
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097 | |
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028 | |
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |