Individual
MR. ANDREW BRIAN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15534 UNIVERSITY AVE, DOLTON, IL 60419-2731
(708) 261-9671
Mailing address
15534 UNIVERSITY AVE, DOLTON, IL 60419-2731
(708) 261-9671
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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