Organization
NOEL CASTELINO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJITH R CASTELINO (MD)
(847) 673-4800
Entity
Organization
Contact information
Practice address
6352 N LINCOLN AVE, CHICAGO, IL 60659-1213
(872) 208-3095
Mailing address
50 E SCHILLER ST, CHICAGO, IL 60610-2110
(847) 673-4800
(847) 673-9322
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
036099795
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099795
—
IL
Enumeration date
05/01/2007
Last updated
10/20/2021
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