Active NPI
Isabelo Christopher Castillo, M.D.
- Urology Physician
- Macomb, IL
National Provider Identifier
1124088943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 306089354
- Practice address
- 501 E Grant St
Macomb, IL 61455-3375 - Phone
- (309) 837-2100
- Fax
- (309) 387-5800
- NPI assigned
- Mar 24, 2006
- Last updated
- Aug 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 306089354 | IL | Primary |
Addresses
Primary practice location
501 E Grant St
Macomb, IL 61455-3375
Mailing address
501 E. Grant Street
Unit 4
Macomb, IL 61455-3375
Phone (309) 837-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306089354 | IL | MD | Urology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Macomb, IL
- NPI 1588736847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1124088943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E. GRANT STREET",
"address_2": "UNIT 4",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553375",
"telephone_number": "309-837-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E GRANT ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553375",
"telephone_number": "309-837-2100",
"fax_number": "309-387-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "ISABELO",
"middle_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "306089354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.