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ANDREW D CHASTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
188 N. INDUSTRIAL DRIVE, SUITE 112, ELMHURST, IL 60126
(847) 243-6041
Mailing address
548 WATERFORD DR, OSWEGO, IL 60543-7306
(630) 554-8158

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008921
IL

Other

Enumeration date
08/03/2020
Last updated
08/03/2020
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