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Individual

BRIAN CASACLANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2400 N SHEFFIELD AVE, CHICAGO, IL 60614-2215
(773) 880-0320
Mailing address
2311 W 22ND ST, SUITE 202, OAK BROOK, IL 60523-1225
(630) 320-1160

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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