Individual
MARY ELIZABETH CASTRONOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1522 BEACH AVE, LA GRANGE PARK, IL 60526-1247
(708) 715-4015
Mailing address
133 BELVIDERE AVE, FOREST PARK, IL 60130-1370
(708) 341-3549
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043056900
IL
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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