Provider Demographics
NPI:1104024835
Name:ALVARADO CASTILLO, RADHAMES
Entity Type:Individual
Prefix:MR
First Name:RADHAMES
Middle Name:
Last Name:ALVARADO CASTILLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 NORTH AVE
Mailing Address - Street 2:# 215
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1002
Mailing Address - Country:US
Mailing Address - Phone:708-268-6381
Mailing Address - Fax:
Practice Address - Street 1:7115 NORTH AVE
Practice Address - Street 2:# 215
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1002
Practice Address - Country:US
Practice Address - Phone:708-268-6381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter