Provider Demographics
NPI:1821976184
Name:CASTILLO, LESLIE (AUD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 PENNSYLVANIA AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-4464
Mailing Address - Country:US
Mailing Address - Phone:630-545-7650
Mailing Address - Fax:630-718-2655
Practice Address - Street 1:430 PENNSYLVANIA AVE STE 330
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-4464
Practice Address - Country:US
Practice Address - Phone:630-545-7650
Practice Address - Fax:630-718-2655
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.012213231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist