Jenecsis Castro-Skoglund Sc

LBN: Jenecsis Castro-Skoglund Sc
Jenecsis Castro-Skoglund Sc is an health care organization with primary practice located at 5401 N Knoxville Ave Suite 114, Peoria IL 61614-5098. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Jenecsis Castro-Skoglund Sc can be contacted via phone (309) 689-8370, or through Castro-Skoglund, Jenecsis via phone (309) 689-8370.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 114 Peoria IL 61614-5098
Phone: (309) 689-8370
Fax: (309) 689-8380
Website:
Map and Directions
Authorized official contact:
Name: Castro-Skoglund, Jenecsis Doctor of Medicine (MD)
Phone: (309) 689-8370

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Illinois

Profile Details

NPI number 1679753123
LBN Legal business name Jenecsis Castro-Skoglund Sc
DBA Doing business as
Authorized official Castro-Skoglund, Jenecsis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Nov 13th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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