Nicholas Guastalli, DO

Internal Medicine Physician · Kankakee, IL

Individual Active NPI

NPI number 1275957334

Practice location

401 N Wall St Ste 102
Kankakee, IL 60901-2934
Phone
(815) 928-5090
Fax
(815) 928-5079

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NPI record

NPI
1275957334
Entity type
Individual (Type 1)
Enumeration date
February 10, 2014
Last updated
July 21, 2022
Certified
March 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 036143561 IL

About Dr. Guastalli

Nicholas Guastalli, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 401 N Wall St Ste 102, Kankakee, IL 60901-2934. The NPI number 1275957334 was assigned on February 10, 2014 and the record was last updated on July 21, 2022.

Dr. Guastalli lists a license in the registry: #036143561 (IL) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas Guastalli, DO?

The NPI number is 1275957334.

What is the phone number of Dr. Guastalli?

The phone number listed for the practice location is (815) 928-5090.

Where is Dr. Guastalli located?

401 N Wall St Ste 102, Kankakee, IL 60901-2934.

What is the taxonomy code for Dr. Guastalli?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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