Individual
ANGELO FRANK GUASTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 W WELLINGTON AVE STE 4800, CHICAGO, IL 60657-5147
(773) 296-7093
Mailing address
836 W WELLINGTON AVE STE 4800, CHICAGO, IL 60657-5147
(773) 296-7093
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.077649
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/06/2021
Last updated
01/03/2025
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