MARIO JOSE ASTACIO

ELGIN, IL
NPI1508073198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085-002516)
Enumeration Date2007-05-16
Last Update Date2014-01-20
Business Address
Mr. MARIO JOSE ASTACIO P.A.-C
1140 N MCLEAN BLVD SUITE C
ELGIN, IL 60123-1782
Phone number: 224-523-8971
Mailing Address
Mr. MARIO JOSE ASTACIO P.A.-C
36W649 WINDING TRL
WEST DUNDEE, IL 60118-9350
Phone number: 224-558-5493