Provider Demographics
NPI:1518843952
Name:CASTILLO, HECTOR DANIEL (RN)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:DANIEL
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 N KEELER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-3620
Mailing Address - Country:US
Mailing Address - Phone:773-520-1377
Mailing Address - Fax:
Practice Address - Street 1:2334 N KEELER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-3620
Practice Address - Country:US
Practice Address - Phone:773-520-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041424515163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical