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General NPI Number Information
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NPI Number | 1558886549
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Entity Type | Organization
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Legal Business Name | CASTLE PODIATRY, LLC
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 11628 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60643-4730
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Country | US
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Telephone | 773-941-4040
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Fax | 738-970-0887
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Provider Business Mailing Address
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Address Line | 11628 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60643-4730
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Country | US
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Telephone | 773-941-4040
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Fax | 773-897-0088
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. WHITNEY KEIR CASTLE
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Credential | DPM
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Telephone | 773-941-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005587
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License Number State | IL
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