person
Matthew William Lustig, MD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1134707961

Matthew William Lustig is a Student in an Organized Health Care Education/Training Program based in Richmond, IL. Matthew William Lustig practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Matthew William Lustig is 1134707961 and holds a License No. (Illinois).

The current practice location address for Matthew William Lustig is 840 S Wood St Rm 427, Chicago, IL and can be reached out via phone at 312-996-7836.

Location: 840 S Wood St Rm 427, Chicago, IL, 23219-1877
person
Provider Profile Details
NPI Number
1134707961
Provider Name
Matthew William Lustig
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
840 S Wood St Rm 427, Chicago, IL, 23219-1877
Phone Number
312-996-7836
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
840 S Wood St Rm 427
City
State
Zip
60612-4325
Phone Number
312-996-7836
Fax Number
person
Provider Business Mailing Address Details
Address
840 S Wood St Rm 427
City
State
Zip
60612-4325
Phone Number
312-996-7836
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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