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CASTLE ORTHOPAEDICS & SPORTS MEDICINE S.C. NPI 1104851823


NPI Information

NPI: 1104851823
Provider Name: CASTLE ORTHOPAEDICS & SPORTS MEDICINE, S.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2111 OGDEN AVE
AURORA, IL
ZIP 60504
Phone: (630) 978-3800
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CASTLE ORTHOPAEDICS & SPORTS MEDICINE, S.C. is a specialist in Aurora, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CASTLE ORTHOPAEDICS & SPORTS MEDICINE, S.C. NPI is 1104851823. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2111 OGDEN AVE
AURORA, IL
ZIP 60504
Phone: (630) 978-3800
Fax: (630) 862-3086

The provider's authorized official is Katie Waegner .
The authorized official title is Business Office Manager and has the following contact phone number (630) 978-3800.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 1/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist042005445ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CH6948MEDICARE PINILLINOIS
2908730MEDICARE PINILLINOIS
3CF4193MEDICARE PINILLINOIS
4426940MEDICARE PINILLINOIS
50427850001MEDICARE NSCILLINOIS
6CB1068MEDICARE PINILLINOIS
7036055572MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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