Individual
DARYL R CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1900 W. POLK STREET, ADMINISTRATION BLDG. - ROOM 154, CHICAGO, IL 60612
(312) 835-5765
(312) 864-9009
Mailing address
6047 W FULLERTON AVE, CHICAGO, IL 60639-2242
(312) 859-8528
(312) 803-1911
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041.367843
IL
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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