Healthcare Provider Details

I. General information

NPI: 1073428678
Provider Name (Legal Business Name): NANETTE CASTO AS, BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 N GILBERT RD STE 104
GILBERT AZ
85234-4525
US

IV. Provider business mailing address

3060 SAVANNAH DR
AURORA IL
60502-8681
US

V. Phone/Fax

Practice location:
  • Phone: 602-726-2300
  • Fax:
Mailing address:
  • Phone: 630-220-9407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number217.000532
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: