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Contact Information

JOSE J CASTELLANOS, MD
4941 N KEDZIE AVE
CHICAGO, IL60625-5009
 Phone: 773-509-9099
 Fax: 773-509-9006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for JOSE J CASTELLANOS · (Male)

NPI # 1750302386
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2006
Last updated 07/21/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036073558
  • IL Medicaid 036073558
  • Other 01616720 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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