Individual
GABRIELLA CASTILLO
Active
Individual
GABRIELLA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01027710A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000080106
ANTHEM
—
01
—
01379B
CIGNA
—
01
—
0160275009
ILLINOIS PUBLIC AID
IL
05
—
100251620B
—
IN
01
—
108911
HEALTHLINK
—
01
—
4062035
AETNA
—
01
—
P00828495
RAILROAD MEDICARE
IN
Enumeration date
08/25/2006
Last updated
08/18/2010
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