Individual
CARLO CORTEZ CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1975 LIN LOR LN, ELGIN, IL 60123-4902
(847) 468-6098
(847) 468-6095
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-013676
IL
225100000X
Physical Therapist
5501013141
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00931566
MEDICARE RAILROAD
IL
01
—
P09920011
MEDICARE ID UNSPECIFIED
MI
Enumeration date
02/26/2007
Last updated
12/11/2014
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