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Michael Castaneda
Family Nurse Practitioner in Park Ridge, Illinois
NPI 1114543055

Michael Castaneda is a Family Nurse Practitioner based in Niles, IL and is specialized in Family. Michael Castaneda practices in Park Ridge, IL. The NPI Number for Michael Castaneda is 1114543055 and holds a License No. 209021107 (Illinois).

The current practice location address for Michael Castaneda is 1875 Dempster St Ste 110, Park Ridge, IL and can be reached out via phone at 847-897-9010.

Location: 1875 Dempster St Ste 110, Park Ridge, IL, 60714-1856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114543055
Provider Name
Michael Castaneda
Credential
Provider Entity Type
Individual
Gender
Male
Address
1875 Dempster St Ste 110, Park Ridge, IL, 60714-1856
Phone Number
847-897-9010
Fax Number
Provider Enumeration Date
06/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1875 Dempster St Ste 110
City
Park Ridge
State
Illinois
Zip
60068-1125
Phone Number
847-897-9010
Fax Number
person
Provider Business Mailing Address Details
Address
1875 Dempster St Ste 110
City
Park Ridge
State
Illinois
Zip
60068-1125
Phone Number
847-897-9010
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209021107 (Illinois)
Definition
Definition to come...
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