Individual
JOSE ANTONIO CASTRO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W 5TH AVE, SUITE 102A, NAPERVILLE, IL 60563-8965
(630) 639-1655
Mailing address
2633 W BELDEN AVE, CHICAGO, IL 60647-3009
(773) 484-7644
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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