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NPI Lookup from the NPI Registry — National Provider Identifier Database

MARIO J ASTACIO, P.A.-C – NPI #1508073198
Medical


Contact Information

MARIO J ASTACIO, P.A.-C
1140 N MCLEAN BLVD
SUITE C
ELGIN, IL60123-1782
 Phone: 224-523-8971
 Fax: 224-220-0840
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Medical

363AM0700X
Indicates primary specialty
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NPI Information for MARIO J ASTACIO · (Male)

NPI Number 1508073198
Credentials P.A.-C
Entity Individual
Enumeration date 05/16/2007
Last updated 01/20/2014 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
IL License # 085-002516
IL Medicare PIN 962341
IL Other 085-002516 STATE PROVIDER LICENCE
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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