Individual
MR. THOMAS MICHAEL CASTILAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 SPRING ST, RED BUD, IL 62278
(618) 282-7373
(618) 282-5476
Mailing address
PO BOX 689022, FRANKLIN, TN 37068
(618) 282-5404
(618) 282-5497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019982
IL
363LF0000X
Family Nurse Practitioner
209019982
IL
363LF0000X
Family Nurse Practitioner
A005907
AR
Other
Enumeration date
09/14/2018
Last updated
01/25/2023
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