OrganizationActive
Casillo Enterprises LLC
NPI 1639836729 · Clinical Medical Laboratory · Chicago, IL
Provider details
- NPI number
- 1639836729
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Brian Lerner, President(312) 868-7166
Specialties & taxonomies
Laboratories
- Community/Behavioral Health Agency251S00000X
Agencies
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4924 W Deming Pl
Chicago, IL 60639-2521
Phone: (312) 868-7166
Street-level locationGet directions
Mailing address
4924 W Deming Pl
Chicago, IL 60639-2521
Registry dates
- Enumerated
- 2021-11-23
- Last updated
- 2022-01-14
- Certified
- 2022-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.