Individual
CRISTINA LACSINA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CKTP
Contact information
Practice address
1366 W. FULLERTON AVE.,, CHICAGO, IL 60614
(773) 248-9300
Mailing address
5432 N. LYNCH AVE., CHICAGO, IL 60630
(773) 853-0434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015235
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015235
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
02/08/2012
Last updated
02/08/2012
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