Mary Elizabeth Castronova

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043056900 Issued in IL

Practice address

1522 Beach Ave
La Grange Park, IL 60526-1247

Phone

(708) 715-4015

NPI assigned

Jul 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1154975779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BELVIDERE AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301370",
            "telephone_number": "708-341-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 BEACH AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261247",
            "telephone_number": "708-715-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRONOVA",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043056900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Anne Cannon-Janettas
• Colton Cannon
• Kelly Caraher
• Glenn F Carlson Jr., MD
• Sophia Catherine Caruso
• Kathryn Nicole Cerven
• Eumi Ann Chang, D.C.
• Colleen Clarke
• Linda Clarke, LAC
• Daryan Coleman

• Licensed Practical Nurse in La Grange Park, IL
• Providers in La Grange Park, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.