Individual
LIAM RICHARD KASTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 USS TRANQUILITY, 3410 ILLINOS ST, GREAT LAKES, IL 60088
(224) 610-8553
Mailing address
1007 USS TRANQUILITY, 3410 ILLINOS ST, GREAT LAKES, IL 60088
(224) 610-8553
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7550
NC
Other
Enumeration date
04/07/2025
Last updated
11/03/2025
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