Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Castaneda

Individual provider Family Nurse Practitioner · NPI 1114543055

Michael Castaneda is a Nurse Practitioner in Park Ridge, Illinois. Qualified in 2019, 7 years ago. Practices with Cardiac Vision LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020

Practice location Address checks out

1875 Dempster St Ste 110
Park Ridge, IL 60068-1125
Phone: (847) 897-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209021107 (IL)

Record details

NPI number1114543055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020
Mailing address8540 W Roseview Dr, Niles, IL 60714-1856

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cardiac Vision Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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