Active NPI
Samuel Castillo
- Gastroenterology Physician
- Chicago, IL
National Provider Identifier
1881894095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SAMUEL CASTILLO
- Practice address
- 1431 N Western Ave
Suite 133
Chicago, IL 60622-1797 - Phone
- (773) 342-6800
- Fax
- (708) 456-8273
- NPI assigned
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. America Castillo
- Title
- Office Manager
- Phone
- (708) 456-7652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | IL | Primary |
Addresses
Primary practice location
1431 N Western Ave
Suite 133
Chicago, IL 60622-1797
Mailing address
2127 North 77TH Court
Elmwood Park, IL 60707
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Chicago, IL
- NPI 1467503672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185321600000",
"number": "1881894095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 NORTH 77TH COURT",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "60707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 N WESTERN AVE",
"address_2": "SUITE 133",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221797",
"telephone_number": "773-342-6800",
"fax_number": "708-456-8273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL CASTILLO",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A",
"authorized_official_last_name": "CASTILLO",
"authorized_official_first_name": "AMERICA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "708-456-7652",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.