SearchIllinois2255A2300X

Ken Castillo

NPI 1942169636 · on the registry since 2026 · sole proprietor

Practice

Address
1400 Arena Dr
Carbondale, IL 62901
Phone
(858) 775-0641

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois