Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Dustin, MD

Individual provider Family Medicine Physician · NPI 1184996472

Jack Dustin, MD is a Family Medicine Physician in Deerfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

540 Lake Cook Rd
Deerfield, IL 60015-5289
Phone: (847) 564-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 336.023475 (IL)

Record details

NPI number1184996472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 1, 2012
Last updated in NPPESFebruary 1, 2012
Mailing address404 E Parkview Ct, Arlington Hts, IL 60005-3846

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