Search › Illinois › 106S00000X
Jack Pusatera
NPI 1558211813 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2525 Cabot Dr Lisle, Il
Lisle, IL 60532 - Phone
- (630) 465-3963
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois