Individual provider · Type 1 NPI

Michael Castaneda

Family Nurse Practitioner · Park Ridge, IL

NPI number 1114543055 Active

Practice location

1875 Dempster St Ste 110
Park Ridge, IL 60068-1125

Mailing address

8540 W Roseview Dr
Niles, IL 60714-1856

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209021107 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1114543055

Michael Castaneda's National Provider Identifier is 1114543055, issued on Jun 16, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Park Ridge, IL. The record was last updated on Jun 16, 2020.