Provider Demographics
NPI:1205305646
Name:CASTREJON, NORMA I (MSW)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:CASTREJON
Suffix:I
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:
Other - Last Name:CASTREJON
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2113 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-1805
Mailing Address - Country:US
Mailing Address - Phone:312-714-2838
Mailing Address - Fax:
Practice Address - Street 1:2113 W 18TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1805
Practice Address - Country:US
Practice Address - Phone:312-714-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor