# MR. CAESAR IWAY TALILI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407100332
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 070006568 | IL | Yes |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 10/30/2012