Individual
JOY CASTROVILLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 N GARY AVE, WHEATON, IL 60187-3055
(630) 653-5115
(630) 653-4493
Mailing address
2001 N GARY AVE, WHEATON, IL 60187-3055
(630) 653-5115
(630) 653-4493
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036 121171
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36121171
—
IL
01
—
4532123
BCBS
IL
01
—
920540
MEDICARE (GROUP PTAN)
IL
01
—
F400098897
MEDICARE (INDIVIDUAL PTAN)
IL
Enumeration date
07/23/2008
Last updated
02/25/2014
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