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Selene Castro

Counselor, Addiction (Substance Use Disorder) in Round Lake, IL. Individual provider (NPI-1).

NPI number1275905655
StatusActive
Last updated in NPPESOct 26, 2015

Details

NPI
1275905655
Entity type
Individual (NPI-1)
Name
Selene Castro
Sex
Female
Sole proprietor
No
Enumeration date
Oct 26, 2015
Last updated
Oct 26, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)29634ILYes

Practice location

31979 N Fish Lake Rd
Round Lake, IL 60073-9517

Phone 847-546-6450 · Fax 847-546-6760

Mailing address

1029 Jackson St
North Chicago, IL 60064-1237

Phone 847-208-8191

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Counselor providers in Round Lake, IL

All 12 Addiction (Substance Use Disorder) Counselor providers in Round Lake · All 141 providers in Round Lake

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