Individual provider · Type 1 NPI

Johanna Carolina Montoya Castillo, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1205348976 Active

Practice location

2355 S Western Ave
Chicago, IL 60608-3837

Mailing address

966 W 21st St
Chicago, IL 60608-4511

Other practice locations

  • 1111 Superior St Ste 506, Melrose Park, IL 60160-4156 · (708) 939-7600

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085006409 (IL)

Medical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1205348976

Johanna Carolina Montoya Castillo, PA-C's National Provider Identifier is 1205348976, issued on Nov 2, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 17, 2018.