person
Mr. Mario Jose Astacio, PA-C
Medical Physician Assistant in Elgin, Illinois
NPI 1508073198

Mario Jose Astacio is a Medical Physician Assistant based in West Dundee, IL and is specialized in Medical. Mario Jose Astacio practices in Elgin, IL and has the professional credentials of PA-C. The NPI Number for Mario Jose Astacio is 1508073198 and holds a License No. 085-002516 (Illinois).

The current practice location address for Mario Jose Astacio is 1140 N Mclean Blvd, Elgin, IL and can be reached out via phone at 224-523-8971 and via fax at 224-220-0840. You can also correspond with Mario Jose Astacio through the mailing address at 36W649 WINDING TRL, WEST DUNDEE, IL - 60118-9350 (mailing address contact number: 224-558-5493).

Location: 1140 N Mclean Blvd, Elgin, IL, 60118-9350
person
Provider Profile Details
NPI Number
1508073198
Provider Name
Mario Jose Astacio
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1140 N Mclean Blvd, Elgin, IL, 60118-9350
Phone Number
224-523-8971
Fax Number
224-220-0840
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085-002516 01 IL STATE PROVIDER LICENCE
institution
Provider Business Practice Location Address Details
Address
1140 N Mclean Blvd
City
State
Zip
60123-1782
Phone Number
224-523-8971
Fax Number
224-220-0840
person
Provider Business Mailing Address Details
Address
1140 N Mclean Blvd
City
State
Zip
60123-1782
Phone Number
224-523-8971
Fax Number
224-220-0840
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085-002516 (Illinois)
Definition
Definition to come...
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