David Jacob Nusbaum

Urology Physician · Chicago, IL

Individual Active NPI

NPI number 1477173540

Practice location

5841 S Maryland Ave # MC6038
Chicago, IL 60637-1443
Phone
(773) 702-9757

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NPI record

NPI
1477173540
Entity type
Individual (Type 1)
Enumeration date
April 19, 2020
Last updated
April 20, 2020
Certified
April 20, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X 125075646 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone
(773) 702-1150

About David Nusbaum

David Jacob Nusbaum is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 5841 S Maryland Ave # MC6038, Chicago, IL 60637-1443. The NPI number 1477173540 was assigned on April 19, 2020 and the record was last updated on April 20, 2020.

David Nusbaum lists a license in the registry: #125075646 (IL) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Jacob Nusbaum?

The NPI number is 1477173540.

What is the phone number of David Nusbaum?

The phone number listed for the practice location is (773) 702-9757.

Where is David Nusbaum located?

5841 S Maryland Ave # MC6038, Chicago, IL 60637-1443.

What is the taxonomy code for David Nusbaum?

The primary taxonomy code is 208800000X – Urology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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