Individual
ADAM ZASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
834 SEWARD ST APT 1, EVANSTON, IL 60202-5322
(224) 400-3059
Mailing address
834 SEWARD ST APT 1, EVANSTON, IL 60202-5322
(224) 400-3059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
213000343
IL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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