SERGE N DEBUSTROS MD
NPI 1962402685
Ophthalmology - Retina Specialist in Harvey, IL

Active since July 22, 2005
71 W 156TH ST, SUITE 400, HARVEY, IL 60426(708) 596-8710(708) 596-9820 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Mar 4, 2021, Nov 16, 2017 (3 updates tracked since 2017).

About Serge N Debustros Md NPPES

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

SERGE N DEBUSTROS MD (NPI 1962402685) is an individual retina specialist in Harvey, Illinois, licensed in Illinois (036081438) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1962402685
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameSERGE N DEBUSTROSCredential: MD
Location Address71 W 156TH ST, SUITE 400Harvey, IL 60426-4265
Mailing Address11516 183rd Pl Ste SwOrland Park, IL 60467-9471 · (708) 877-1300 · Fax (708) 596-8719
Fax(708) 596-9820
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
NPI 1962402685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses Licensed in IL · 036081438 Licensed in IN · 01038973A
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 036081438 (IL)
71 W 156TH ST, Harvey, IL 60426

Other Identifiers 3

Medicaid036081438IL
Other180015436IL · Rrmc
Other180012658IN · Rrmc

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.

Radiology (Diagnostic Radiology)
71 W 156TH ST, SUITE 110
HARVEY, IL 60426
Internal Medicine
71 W 156TH ST, SUITE 212
HARVEY, IL 60426
Surgery
71 W 156TH ST, SUITE 309
HARVEY, IL 60426
Radiology (Diagnostic Radiology)
71 W 156TH ST, SUITE 110
HARVEY, IL 60426
Internal Medicine (Interventional Cardiology)
71 W 156TH ST, STE 305
HARVEY, IL 60426
Ophthalmology (Retina Specialist)
71 W 156TH ST, SUITE 400
HARVEY, IL 60426
Surgery
71 W 156TH ST, SUITE 311
HARVEY, IL 60426
Ophthalmology
71 W 156TH ST, SUITE #400
HARVEY, IL 60426

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 Serge Debustros's NPI number?

The NPI number for Serge Debustros is 1962402685. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Serge Debustros located?

Serge Debustros practices at 71 W 156th St Suite 400, Harvey, IL 60426. The listed phone number is (708) 596-8710.

What is Serge Debustros's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

When was this NPI record last updated?

The NPPES record for Serge Debustros was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.