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1154931434
ANDREW D CHASTAIN
ELMHURST, IL
NPI
1154931434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.008921)
Enumeration Date
2020-08-03
Last Update Date
2020-08-03
Business Address
ANDREW D CHASTAIN PTA
188 N. INDUSTRIAL DRIVE, SUITE 112
ELMHURST, IL 60126
Phone number: 847-243-6041
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Mailing Address
ANDREW D CHASTAIN PTA
548 WATERFORD DR
OSWEGO, IL 60543-7306
Phone number: 630-554-8158
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