Individual
CORALIA GISSEL CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-0715
(708) 783-9100
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-0715
(708) 783-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.077958
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/07/2021
Last updated
05/12/2021
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