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JACK DUSTIN MD
NPI 1184996472
Family Medicine in Deerfield, IL

Active since February 01, 2012
540 LAKE COOK RD, DEERFIELD, IL 60015(847) 564-8500 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Dustin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK DUSTIN MD (NPI 1184996472) is an individual family medicine provider in Deerfield, Illinois, licensed in Illinois (336.023475) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1184996472
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK DUSTINCredential: MD
Location Address540 LAKE COOK RDDeerfield, IL 60015-5289
Mailing Address404 E Parkview CtArlington Hts, IL 60005-3846 · (847) 364-5531 · Fax (847) 364-4610
Phone(847) 564-8500
Sole ProprietorYes
Enumeration DateFebruary 1, 2012
✔ NPI 1184996472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 336.023475
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

540 LAKE COOK RD, Deerfield, IL 60015
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Dustin's NPI number?

The NPI number for Jack Dustin is 1184996472. It was assigned to this individual provider in the NPPES registry on February 1, 2012.

Where is Jack Dustin located?

Jack Dustin practices at 540 Lake Cook Rd, Deerfield, IL 60015. The listed phone number is (847) 564-8500.

What is Jack Dustin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Dustin was last updated on February 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.