OrganizationActive
San Pablo Medical Center
NPI 1487733028 · Internal Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1487733028
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amer Rustom, Medical Director(773) 227-3500
- License
- 36083101 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2641 W Division St
Chicago, IL 60622-2851
Phone: (773) 227-3500
Fax: (773) 227-0432
Street-level locationGet directions
Mailing address
2641 W Division St
Chicago, IL 60622-2851
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2012-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.