Castellanos, Jose J

Castellanos, Jose J is an individual health care provider with primary practice located at 4941 N Kedzie Ave , Chicago IL 60625-5009. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Castellanos, Jose J can be contacted via phone (773) 509-9099.

Contact Information

Primary practice address
4941 N Kedzie Ave Chicago IL 60625-5009
Phone: (773) 509-9099
Fax: (773) 509-9006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036073558 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036073558 Illinois

Profile Details

NPI number 1750302386
LBN Legal business name Castellanos, Jose J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 21st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750302386 NPPES
Other 01616720 BCBS
MEDICAID 036073558 BCBS

Popular Providers