David Jacob Nusbaum
David Jacob Nusbaum is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
5841 S Maryland Ave # MC6038Chicago, IL 60637-1443
Phone: (773) 702-9757
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Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 125075646 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1477173540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 19, 2020 |
| Last updated in NPPES | April 20, 2020 |
| Certification date | April 20, 2020 |
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