Individual
DR. JUSTIN BRYCE CASTONGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ILLINI DR, PEORIA, IL 61605-2576
(309) 655-6988
Mailing address
6213 N KNOLL AIRE DR, PEORIA, IL 61614-3422
(559) 283-4085
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.085734
IL
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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