Healthcare Provider Details

I. General information

NPI: 1003710104
Provider Name (Legal Business Name): MS. CYNTHIA ANDREA CASTILLEJO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 GREEN BAY RD
NORTH CHICAGO IL
60064-3037
US

IV. Provider business mailing address

1927 E HAMPTON AVE UNIT 213
MESA AZ
85204-6061
US

V. Phone/Fax

Practice location:
  • Phone: 847-578-3204
  • Fax:
Mailing address:
  • Phone: 480-765-7743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: