Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL MICHAEL DE BUSTROS
Active Sole ProprietorPAUL MICHAEL DE BUSTROS is a Sports Medicine (Emergency) healthcare provider located in ORLAND PARK, Illinois. NPI 1487230876 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · ORLAND PARK, IL
Registration Details
- NPI Number
- 1487230876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2021 (5.4302723269972 yrs)
- Last Updated
- Jun 30, 2025
- Licenses
-
036.169593 (IL)036.169593 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11516 183RD PL STE SEORLAND PARK, IL, 604679456Browse IL providers · Browse ZIP 60467
- Phone
- 7089156807
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in ORLAND PARK, IL
| Name | Credential | NPI |
|---|---|---|
| SARA FARD | MD | 1316508492 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.