Individual provider · Type 1 NPI

Paul Michael De Bustros

Retina Specialist (Ophthalmology) Physician · Orland Park, IL

NPI number 1487230876 Active

Practice location

11516 183rd Pl Ste SE
Orland Park, IL 60467-9456

Mailing address

450 E Waterside Dr Unit 2808
Chicago, IL 60601-4730

Other practice locations

  • 2160 S 1st Ave, Maywood, IL 60153-3328 · (888) 584-7888

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X036.169593 (IL)
Retina Specialist (Ophthalmology) Physician Primary 207WX0107X036.169593 (IL)

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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About NPI 1487230876

Paul Michael De Bustros's National Provider Identifier is 1487230876, issued on Mar 24, 2021. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Orland Park, IL. The record was last updated on Jun 30, 2025.