Individual
SEAN JASTILLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302
(708) 383-6200
Mailing address
21 LE MOYNE PKWY, OAK PARK, IL 60302-1117
(812) 870-2873
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
128779
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
209022839
IL
Other
Enumeration date
01/22/2020
Last updated
01/24/2023
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