Individual
MISS JORDAIZN CASTANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
166 VILLAGE CREEK DR, LAKE IN THE HILLS, IL 60156-5600
(630) 456-6405
Mailing address
166 VILLAGE CREEK DR, LAKE IN THE HILLS, IL 60156-5600
(630) 456-6405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209027917
IL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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