MR. RAUL CASTRO L.C.P.C.
NPI 1417011230
Counselor - Professional in Berwyn, IL
Active since December 20, 2006
About Mr. Raul Castro L.c.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RAUL CASTRO L.C.P.C. (NPI 1417011230) is an individual professional provider in Berwyn, Illinois, licensed in Illinois (180006165) and active in the NPI registry since December 2006. He maintains a secondary practice location in Cicero.
NPPES Registry Identity
NPI1417011230
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. RAUL CASTROCredential: L.C.P.C.
Location Address3339 HIGHLAND AVEBerwyn, IL 60402-3817
Mailing Address3339 Highland AveBerwyn, IL 60402-3817 · (708) 772-1117
Phone(708) 772-1117
Fax(888) 223-5281
Sole ProprietorYes
Enumeration DateDecember 20, 2006
Last NPPES UpdateJune 19, 2019
✔ NPI 1417011230 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180006165
3339 HIGHLAND AVE, Berwyn, IL 60402
Secondary Practice Location 1
Location 15712 W 35th StCicero, IL 60804-4222 · Phone (708) 772-1117
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
3339 HIGHLAND AVE
BERWYN, IL 60402
BERWYN, IL 60402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417011230, enumerated as an "individual" on December 20, 2006.
The provider is located at 3339 HIGHLAND AVE BERWYN, IL 60402 and the phone number is (708) 772-1117.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
