Individual
CHERYL CHASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
917 S OAK PARK AVE, SUITE B, OAK PARK, IL 60304-1950
(708) 358-0791
(708) 358-1418
Mailing address
917 S OAK PARK AVE, SUITE B, OAK PARK, IL 60304-1950
(708) 358-0791
(708) 358-1418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.128802
IL
207Q00000X
Family Medicine Physician
125056559
IL
Other
Enumeration date
06/08/2009
Last updated
07/20/2012
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