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Individual

ANDREW DOUGLAS KASTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
305 W JACKSON ST STE 206, CARBONDALE, IL 62901-1474
(618) 457-3006
(618) 457-3007
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036171933
IL
208600000X
Surgery Physician
72354
GA
2086S0102X
Surgical Critical Care Physician
036171933
IL
2086S0102X
Surgical Critical Care Physician
72354
GA
2086S0127X
Trauma Surgery Physician
Primary
2086S0127X
IL

Other

Enumeration date
05/16/2008
Last updated
02/10/2025
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