Dr DESIREE A CASTONGUAY is a female medical professional, specializing in Physician Assistant. She graduated in 2014.
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
2601 W MAIN ST
CARBONDALE
IL
629011031
Tel: 6185495361
| Npi | 1730578535 |
| Pac Id | 7911223904 |
| Professional Enrollment Id | I20150310002449 |
| Last Name | CASTONGUAY |
| First Name | DESIREE |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Group Practice Pac Id | 3678677390 |
| Number Of Group Practice Members | 297 |
| Line 1 Street Address | 2601 W MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CARBONDALE |
| State | IL |
| Zip Code | 629011031 |
| Phone Number | 6185495361 |
| Hospital Affiliation Ccn 1 | 140164 |
| Hospital Affiliation Lbn 1 | MEMORIAL HOSPITAL OF CARBONDALE |
| Hospital Affiliation Ccn 2 | 140011 |
| Hospital Affiliation Lbn 2 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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