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HANI RUSTOM
NPI 1487231478
Pediatrics in Chicago, IL

Active since March 25, 2021PECOS Enrolled
1740 W TAYLOR ST, CHICAGO, IL 60612(630) 890-3061 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 18, 2024, Nov 11, 2024, Apr 23, 2024 and 2 more (5 updates tracked since 2021).

About Hani Rustom NPPES

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

HANI RUSTOM (NPI 1487231478) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036.166807) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1487231478
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameHANI RUSTOM
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address737 W Washington Blvd Apt 2701Chicago, IL 60661-2615
Phone(630) 890-3061
Sole ProprietorNo
Enumeration DateMarch 25, 2021
Last NPPES UpdateDecember 18, 20245 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1487231478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036.166807
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1740 W TAYLOR ST, Chicago, IL 60612
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Secondary Practice Location 1

Location 1737 W Washington Blvd Apt 2701Chicago, IL 60661-2615 · Phone (630) 890-3061

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hani Rustom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Hani Rustom's NPI number?

The NPI number for Hani Rustom is 1487231478. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Hani Rustom located?

Hani Rustom practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (630) 890-3061.

What is Hani Rustom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hani Rustom enrolled in Medicare?

Yes. Hani Rustom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hani Rustom was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.