Castillo Diaz, Fidel E

Castillo Diaz, Fidel E is an sole proprietor health care provider with primary practice located at 840 S Wood St M-C 717 Csn 440, Chicago IL 60612-4325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Castillo Diaz, Fidel E can be contacted via phone (312) 996-7704.

Contact Information

Primary practice address
840 S Wood St M-C 717 Csn 440 Chicago IL 60612-4325
Phone: (312) 996-7704
Fax: (312) 413-8283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036124066 Illinois

Profile Details

NPI number 1689667347
LBN Legal business name Castillo Diaz, Fidel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2005
Last updated Mar 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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