Castle Orthopaedics & Sports Medicine, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

042005445 Issued in IL

Legal business name

CASTLE ORTHOPAEDICS & SPORTS MEDICINE, S.C.

Practice address

2111 Ogden Ave
Aurora, IL 60504

Phone

(630) 978-3800

Fax

(630) 862-3086

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Katie Waegner

Title

Business Office Manager

Phone

(630) 978-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1104851823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-978-3800",
            "fax_number": "630-862-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-978-3800",
            "fax_number": "630-862-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE ORTHOPAEDICS & SPORTS MEDICINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "WAEGNER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "630-978-3800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042005445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055572",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandra Mayte Castellanos
• Chandler Casten
• Atziry Castillo
• Jessica Castillo
• Miriam Castillo
• Castle Orthopaedics and Sports Medicine
• Debra B Catanese, LCSW
• Valerie Catanzaro, BSW
• Paul Dayata Catedral, MD
• Catholic Charities - Diocese of Rockford

• Specialist in Aurora, IL
• Providers in Aurora, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.