Individual
ANDREW B SESTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
5929 EAST RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
213000027
IL
Other
Enumeration date
05/14/2016
Last updated
08/10/2023
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