Individual
PROF. LILY ASTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
707 CEDAR ST, SOUTH BEND, IN 46617-2054
(574) 335-4684
(574) 335-0660
Mailing address
510 W ADAMS ST, PLYMOUTH, IN 46563-1765
(574) 335-7900
(574) 335-0850
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IN
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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