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Individual

DR. FIDEL E CASTILLO DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
840 S WOOD ST, M-C 717 CSN 440, CHICAGO, IL 60612-4325
(312) 996-7704
(312) 413-8283
Mailing address
840 S WOOD ST, M-C 717 CSN 440, CHICAGO, IL 60612-4325

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036124066
IL

Other

Enumeration date
08/29/2005
Last updated
03/05/2014
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