J Eric D Castro in Libertyville - Procedural Dermatology
J Eric D Castro - NPI 1316971807
J Eric D Castro is a Procedural Dermatology in Libertyville, Illinois. J Eric D Castro practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for J Eric D Castro is 1316971807. The last update date is 2023-10-20.
J Eric D Castro's current location address is 1105 W Park Ave Ste 7, Libertyville, Illinois. You can contact this provider via phone number 8477730369 and fax number 8472012573. The mailing address for J Eric D Castro is 1105 W Park Ave Ste 7, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J Eric D Castro |
|---|---|
| Address | 1105 W Park Ave Ste 7, Libertyville, Illinois |
| Phone Number | 8477730369 |
| Fax Number | 8472012573 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316971807 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2023-10-20 |
Provider Mailing Address Detail
| Address | 1105 W Park Ave Ste 7 |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600482567 |
| Phone Number | 8477730369 |
| Fax Number | 8472012573 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 36103419 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00264268 | IL | RAILROAD MEDICARE | |
| 36103419 | IL | -- | |
| 1316971807 | WI | BLUE CROSS BLUE SHIELD | |
| 1316971807 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to J Eric D Castro by the Centers for Medicare & Medicaid Services (CMS)?
The J Eric D Castro has been assigned the NPI (National Provider Identifier) 1316971807. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where J Eric D Castro's facilities are situated?
The facilities of J Eric D Castro are physically located at the following address: 1105 W Park Ave Ste 7, Libertyville, IL, 600482567.
What is J Eric D Castro's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for J Eric D Castro is Procedural Dermatology, and the taxonomy code that classifies this field of practice is 207Ns0135X.
On what date did the J Eric D Castro receive its 1316971807 assignment from the Centers for Medicare & Medicaid Services?
The J Eric D Castro was assigned its 1316971807 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details pertaining to J Eric D Castro last refreshed?
The information related to the J Eric D Castro, including its address, specialty, and other relevant details, was last updated on 2023-10-20.