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

Mr. Rustam Safarov, FNP

Individual provider Family Nurse Practitioner · NPI 1770147480

Mr. Rustam Safarov, FNP is a Nurse Practitioner in Wheeling, Illinois. Qualified in 2019, 7 years ago. Practices with Stat Cardiologist Inc, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

10 N Milwaukee Ave
Wheeling, IL 60090-3012
Phone: (800) 323-8622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6 E Phillip Rd, Vernon Hills, IL 60061-1700 — (847) 680-0500

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.019746 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F03190845 (IL)

Record details

NPI number1770147480
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 28, 2019
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Stat Cardiologist Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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