Individual
MR. THOMAS JAMES ZASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1663 BELVIDERE RD, BELVIDERE, IL 61008-9306
(815) 544-0040
Mailing address
1663 BELVIDERE RD, BELVIDERE, IL 61008-9306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007982
IL
Other
Enumeration date
04/21/2020
Last updated
12/03/2020
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