Castro, Eileen

Castro, Eileen is an individual health care provider with primary practice located at 106 19Th Ave Suite 103, Moline IL 61265-3700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Castro, Eileen can be contacted via phone (309) 779-7050.

Contact Information

Primary practice address
106 19Th Ave Suite 103 Moline IL 61265-3700
Phone: (309) 779-7050
Fax: (309) 779-7055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036104609 Illinois

Profile Details

NPI number 1104892215
LBN Legal business name Castro, Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 15th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104892215 NPPES
Iowa MEDICAID 1571000
Iowa MEDICAID 036104609
Iowa MEDICAID 0571000
Iowa MEDICAID 1104892215
Iowa Other 036104609

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