Carlson, Dustin

Carlson, Dustin is an sole proprietor health care provider with primary practice located at 675 N Saint Clair St 17Th Floor, Chicago IL 60611-5975. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Carlson, Dustin can be contacted via phone (312) 695-5620.

Contact Information

Primary practice address
675 N Saint Clair St 17Th Floor Chicago IL 60611-5975
Phone: (312) 695-5620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036129287 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036129287 Illinois

Profile Details

NPI number 1902139173
LBN Legal business name Carlson, Dustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2009
Last updated Jun 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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