Individual
EDGAR DELCASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4040
Mailing address
560 ABERDEEN RD, FRANKFORT, IL 60423-9715
(708) 709-6396
(708) 709-6353
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036047844
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047844
—
IL
Enumeration date
04/14/2006
Last updated
12/14/2016
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