| NPI | 1942428644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGILIO C CASTILLO President 773-878-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038008973) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-009043) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-09-02 |