NPI 1700233244

Andrew B Sestak, CO

Practitioner Orthotist Rockford, IL

Practice location

Address: 5929 East Riverside Blvd, Rockford, IL 61114-4937
Phone: (815) 398-9491
Mailing address: PO Box 735263, Chicago, IL 60673-5263

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000027 (IL)

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Registry record

NPI: 1700233244
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2016
Record last updated: 10 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.