| Dr Daniel James Castillo, MD | |
| 
					2650 Ridge Ave Ste G909, Evanston, IL 60201-1700  | |
| (847) 570-2111 | |
| Not Available | 
| Full Name | Dr Daniel James Castillo | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 2650 Ridge Ave Ste G909, Evanston, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629249453 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125047907 (Illinois) | Secondary | 
| 207P00000X | Emergency Medicine | 036120592 (Illinois) | Primary | 
| Entity Name | Northwestern Medical Faculty Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541  | 
| Entity Name | Endeavor Health Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Daniel James Castillo, MD 680 N Lake Shore Dr, Chicago, IL 60611-4546 Ph: (312) 695-6868  | Dr Daniel James Castillo, MD 2650 Ridge Ave Ste G909, Evanston, IL 60201-1700 Ph: (847) 570-2111  | 
Michael T. Gillam, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223  | |
Evan G Laskaris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Division Of Emergency Medicine, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223  | |
Irene C. Yao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114  | |
Korie Lynne Zink, MD, MS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223  | |
Yudith Diaz Baez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223  | |
Isaac Kolawole Agboola, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223  | |
Dr. Rachel Hammel Mcdowell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-2440  |