Jenecsis Castro-Skoglund in Peoria - Internal Medicine
Jenecsis Castro-Skoglund - NPI 1336251958
Jenecsis Castro-Skoglund is a Internal Medicine in Peoria, Illinois. Jenecsis Castro-Skoglund practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jenecsis Castro-Skoglund is 1336251958. The last update date is 2007-11-13.
Jenecsis Castro-Skoglund's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096898370 and fax number 3096898380. The mailing address for Jenecsis Castro-Skoglund is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenecsis Castro-Skoglund |
|---|---|
| Address | 5401 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096898370 |
| Fax Number | 3096898380 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336251958 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145098 |
| Phone Number | 3096898370 |
| Fax Number | 3096898380 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36093944 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36093944 | IL | -- | |
| 55562 | IL | HEALTH ALLIANCE | |
| 7232028 | IL | BLUE CROSS BLUE SHIELD | |
| IL0101 | IL | JOHN DEERE | |
| 383653744 | IL | TAX ID |
Post Comment/ Review Below
What is the unique identification code assigned to Jenecsis Castro-Skoglund by the Centers for Medicare & Medicaid Services?
The Jenecsis Castro-Skoglund has been issued the NPI (National Provider Identifier) 1336251958. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jenecsis Castro-Skoglund located?
The Jenecsis Castro-Skoglund is located at 5401 N Knoxville Ave, Peoria, IL 616145098.
What is the area of specialization for Jenecsis Castro-Skoglund, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jenecsis Castro-Skoglund is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336251958 to Jenecsis Castro-Skoglund?
The Centers for Medicare & Medicaid Services assigned the 1336251958 to Jenecsis Castro-Skoglund on 2006-08-31.
As of what date were the Jenecsis Castro-Skoglund's details last updated?
The information pertaining to the Jenecsis Castro-Skoglund, including its address, specialty, and other details, was most recently updated on 2007-11-13.