Castaldo, Chandra P.

Castaldo, Chandra P. is an individual health care provider with primary practice located at 3880 Salem Lake Dr Ste F , Long Grove IL 60047. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Castaldo, Chandra P. can be contacted via phone (847) 719-2220.

Contact Information

Primary practice address
3880 Salem Lake Dr Ste F Long Grove IL 60047
Phone: (847) 719-2220
Fax: (847) 719-2265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209013943 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 209013943 Illinois

Profile Details

NPI number 1346794070
LBN Legal business name Castaldo, Chandra P.
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346794070 NPPES
Illinois MEDICAID 20901343

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