Lisa M Castillo, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

5841 S Maryland Ave # Mc6088
University of Chicago
Chicago, IL 60637-1447

Phone

(773) 702-4310

Fax

(773) 702-2681

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

Practice roles

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.

• Central Dupage Physician Group

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1033149844
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1902954431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 W SHERIDAN RD APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133243",
            "telephone_number": "773-248-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC6088",
            "address_2": "UNIVERSITY OF CHICAGO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-4310",
            "fax_number": "773-702-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MS, CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Daniel Castillo, RN
• Jayme Castillo
• Jazmin Evelyn Castillo
• Jennifer K Castillo, PA-C
• Lesly G Castillo, APRN
• Nydia Castillo, BA, MA
• Paula Carolina Castillo, PSYD
• Samuel Castillo, M.D.
• Samuel F Castillo, M.D.
• Silvia Aimee Castillo, MSW, LSW

• Genetic Counselor (M.S.) in Chicago, IL
• Providers in Chicago, IL by specialty
• Genetic Counselor (M.S.) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.