| Doctor Name: | DR. MARSHALL F BRUSTEIN |
| NPI Number: | 1821165978 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036104593 |
| Business Practice Address: | 304 W Hay St Suite 112 Decatur, IL - 625266328 |
| Business Phone Number: | 2178728204 |
| Business Fax Number: | 2178724897 |
| Mailing Address: | 304 W Hay St, Suite 112 DECATUR |
| State: | IL |
| Postal Code: | 625266328 |
| Phone Number: | 2178728204 |
| Fax Number: | 2178724897 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 05/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 036104593 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |