Individual
JEAN GASTIGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
WIRTZ DR, NORTHERN ILLINOIS UNVIVERSITY, DEKALB, IL 60115
(815) 753-1311
Mailing address
150 W LOCUST ST, DEKALB, IL 60115-3132
(815) 756-6178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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