Castillo, Samuel

Castillo, Samuel is an individual health care provider with primary practice located at 2222 W Division St 235, Chicago IL 60622-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Castillo, Samuel can be contacted via phone (773) 342-6800.

Contact Information

Primary practice address
2222 W Division St 235 Chicago IL 60622-2717
Phone: (773) 342-6800
Fax: (773) 342-6332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036063975 Illinois

Profile Details

NPI number 1467503672
LBN Legal business name Castillo, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Nov 23rd, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467503672 NPPES
Illinois MEDICAID 036063975

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