JESSIE WAYNE CASTRO

CHICAGO, IL
NPI1144614454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125073447)
Enumeration Date2015-03-25
Last Update Date2018-11-27
Business Address
JESSIE WAYNE CASTRO
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Phone number: 773-989-3808
Mailing Address
JESSIE WAYNE CASTRO
4703 N ALBANY AVE APT 2
CHICAGO, IL 60625-1195
Phone number: 503-956-7638
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