MEDICARE: GALILEE MEDICAL CENTER, S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	42618056	IL

General Provider Information

NPI Number	:	1609823038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALILEE MEDICAL CENTER, S.C.

Provider Business Mailing Address
First Line	:	4941 N KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5009
Country	:	US
Telephone Number	:	773-293-0451
Fax Number	:	773-942-7166

Provider Business Practice Location Address
First Line	:	4941 N KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5009
Country	:	US
Telephone Number	:	773-293-0451
Fax Number	:	773-942-7166

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NASER RUSTOM
Credential	:	MD
Telephone Number	:	773-237-0755

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	03/05/2019

Similar Medicare Providers

1417823501 — WATCHARIYAPORN THASAI
Practice Location Address:

4901 N KEDZIE AVE
CHICAGO, IL
60625-5009

Practice Phone: 773-895-9202
Practice Fax:

1336137769 — NADA ZAYZAFOON
Practice Location Address:

4941 N KEDZIE AVE
CHICAGO, IL
60625-5009

Practice Phone: 773-509-9200
Practice Fax: 773-509-9247

1184614224 — SASA STOJANOVIC D.D.S.
Practice Location Address:

4901 N KEDZIE AVE
CHICAGO, IL
60625-5009

Practice Phone: 773-509-9200
Practice Fax: 773-509-9247

1154374171 — DR. NASER RUSTOM MD
Practice Location Address:

4941 N KEDZIE AVE
CHICAGO, IL
60625-5009

Practice Phone: 773-509-9099
Practice Fax: 773-509-9006

1194745422 — DR. SAOUD DABBAH MD
Practice Location Address:

4941 N KEDZIE AVE
CHICAGO, IL
60625-5009

Practice Phone: 773-588-7600
Practice Fax: 773-509-9886

1750302386 — JOSE J CASTELLANOS MD
Practice Location Address:

4941 N KEDZIE AVE
CHICAGO, IL
60625-5009

Practice Phone: 773-509-9099
Practice Fax: 773-509-9006

Directions to “GALILEE MEDICAL CENTER, S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.