MICHAEL CASTANEDA

PARK RIDGE, IL
NPI1114543055
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209021107)
Enumeration Date2020-06-16
Last Update Date2020-06-16
Business Address
MICHAEL CASTANEDA
1875 DEMPSTER ST STE 110
PARK RIDGE, IL 60068-1125
Phone number: 847-897-9010
Mailing Address
MICHAEL CASTANEDA
8540 W ROSEVIEW DR
NILES, IL 60714-1856
Phone number: 847-910-6059
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