Individual
MR. DALLAS CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
1318 N GREENVIEW AVE, UNIT 7, CHICAGO, IL 60642-2372
(815) 666-2506
Mailing address
1318 N GREENVIEW AVE, UNIT 7, CHICAGO, IL 60642-2372
(815) 666-2506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010307
IL
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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