Individual
MRS. CHANDRA P. CASTALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4684
(708) 520-1919
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-5292
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
209013943
IL
363LA2200X
Adult Health Nurse Practitioner
209013943
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20901343
—
IL
Enumeration date
08/10/2016
Last updated
08/30/2024
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