| Doctor Name: | GERALD REBUSTES |
| NPI Number: | 1922316991 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 00275025 |
| Business Practice Address: | 4833 N. Olcott Ave.#501 Harwood Heights, IL - 60706 |
| Business Phone Number: | 8475323728 |
| Business Fax Number: | |
| Mailing Address: | 4833 N Olcott Ave Unit 501, HARWOOD HEIGHTS |
| State: | IL |
| Postal Code: | 607063566 |
| Phone Number: | 8475323728 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2010 |
| NPI Last Update Date: | 09/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 00275025 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |