Individual provider Active NPI

Jamee Castillo Tantoco, MD

  • Allergy & Immunology Physician
  • Glenview, IL
National Provider Identifier
1013205046
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036.135196 Issued in IL
Practice address
2050 Pfingsten Rd Ste 320
Glenview, IL 60026
Phone
(847) 998-4170
Fax
(847) 998-4165
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125059451 IL
Allergy & Immunology Physician 207K00000X 036.135196 IL Primary

Addresses

Primary practice location

2050 Pfingsten Rd Ste 320
Glenview, IL 60026

Mailing address

2050 Pfingsten Rd Ste 320
Glenview, IL 60026-1324
Phone (847) 998-4170

Other practice location 1

2050 Pfingsten Rd Ste 320
Glenview, IL 60026-1324
Phone (847) 998-4170

Other names 1

  • Dr. Jamee Roman Castillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140902000449 IL Practitioner - Allergy/ImmunologyPractitioner - RheumatologyPractitioner - Internal Medicine 4981829355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2050 Pfingsten Rd
Suite 360
Glenview, IL 60026-1313
Phone (847) 657-5959

2650 Ridge Ave
Evanston, IL 60201-1700

71 Waukegan Rd
Suite 700
Lake Bluff, IL 60044-1614
Phone (224) 364-2273

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.135196ILMDAllergy & Immunology Physician
125059451ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Allergy & Immunology CurrentSince Jul 1, 2014 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 1, 2014 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2050 Pfingsten Rd
Ste 360
Glenview, IL 60026
Phone (847) 657-1819

2050 Pfingsten Rd
Glenview, IL 60026
Phone (847) 657-1820

2050 Pfingsten Rd
Ste 320
Glenview, IL 60026
Phone (847) 998-4170

71 Waukegan Rd
Ste 700
Lake Bluff, IL 60044
Phone (224) 251-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1013205046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PFINGSTEN RD STE 320",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261324",
            "telephone_number": "847-998-4170",
            "fax_number": "847-998-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 PFINGSTEN RD STE 320",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-998-4170",
            "fax_number": "847-998-4165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Pfingsten Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261324",
            "country_code": "US",
            "telephone_number": "847-998-4170",
            "fax_number": "847-998-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANTOCO",
        "first_name": "JAMEE",
        "middle_name": "CASTILLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125059451",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036.135196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMEE",
            "last_name": "CASTILLO",
            "middle_name": "ROMAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.