Doctor Name: | DR. CALIXTO F. AQUINO |
NPI Number: | 1588696348 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 112 W Kirkham St Litchfield, IL - 620561906 |
Business Phone Number: | 2173242155 |
Business Fax Number: | 2173242155 |
Mailing Address: | Po Box 407, LITCHFIELD |
State: | IL |
Postal Code: | 620560407 |
Phone Number: | 2173242155 |
Fax Number: | 2173242155 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |