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General NPI Number Information
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NPI Number | 1538190053
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Entity Type | Individual
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Provider Name | VIRGILIO CASTILLO D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4539 N WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60625-2116
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Country | US
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Telephone | 773-878-2660
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Fax | 773-878-2860
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Provider Business Mailing Address
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Address Line | 3719 W EDDY ST
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City | CHICAGO
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State | IL
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Zip | 60618-5021
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Country | US
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Telephone | 773-736-1181
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Fax | 773-736-1185
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | IL
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