Individual
DR. RICHARD CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
036078726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078726-3
—
IL
01
—
05721369
BC/BS
IL
Enumeration date
06/26/2006
Last updated
03/25/2014
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