Organization
ALLIANCE CHIROPRACTIC HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGILIO C CASTILLO JR. D.C. (PRESIDENT)
(773) 878-2660
Entity
Organization
Contact information
Practice address
4539 N WESTERN AVE, CHICAGO, IL 60625-2116
(773) 878-2660
(773) 878-2860
Mailing address
4539 N WESTERN AVE, CHICAGO, IL 60625-2116
(773) 878-2660
(773) 878-2860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-009043
IL
111NS0005X
Sports Physician Chiropractor
Primary
038008973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630039
BCBS CASTILLO & REYES
IL
Enumeration date
04/20/2007
Last updated
09/02/2011
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