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NPI Code Detail

MEDICARE: PRISCILLA JANE CASTLE FRALEIGH

MEDICARE:   PRISCILLA JANE CASTLE FRALEIGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist208001401IL

General Provider Information

NPI Number : 1851253553
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA JANE CASTLE FRALEIGH
Provider Business Mailing Address
First Line : 244 CUMNOR RD
Second Line :
City : KENILWORTH
State : IL
Zip : 60043-1115
Country : US
Telephone Number : 847-251-4710
Fax Number :
Provider Business Practice Location Address
First Line : 1135 SKOKIE BLVD
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4118
Country : US
Telephone Number : 847-441-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ PRISCILLA JANE CASTLE FRALEIGH ” Practice Location

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