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Search › Illinois › 101YP2500X

Jonathan Bastian

NPI 1952806226 · on the registry since 2018

Practice

Address
205 S 24th St
Quincy, IL 62301
Phone
(217) 592-0449
Organisation at this address
Chaddock
Gbcb Healthcare, Pllc
Chaddock Attachment And Trauma Services
Chaddock Attachment And Trauma Services
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-28

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