Individual
JACK PUSATERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 CABOT DR LISLE, IL, LISLE, IL 60532
(630) 465-3963
Mailing address
2525 CABOT DR LISLE, IL, LISLE, IL 60532
(630) 465-3963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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