Provider Demographics
NPI:1316489826
Name:CASTILLO CONSULTANTS LLC
Entity type:Organization
Organization Name:CASTILLO CONSULTANTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-282-7430
Mailing Address - Street 1:2703 S RINCON DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-5662
Mailing Address - Country:US
Mailing Address - Phone:312-282-7430
Mailing Address - Fax:312-561-6551
Practice Address - Street 1:2703 S RINCON DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-5662
Practice Address - Country:US
Practice Address - Phone:312-282-7430
Practice Address - Fax:312-561-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management