# ISABELO CASTILLO, MDSC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ISABELO CASTILLO, MDSC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588736847
- **Legal business name:** ISABELO CASTILLO, MDSC
- **Authorized official:** DR. ISABELO CHRISTOPHER CASTILLO MD (PRESIDENT)
- **Authorized official phone:** (309) 837-2100

## Contact information

- **Practice address:** 501 E GRANT ST, UNIT 4, MACOMB, IL 61455-3374
- **Practice address phone:** (309) 837-2100
- **Practice address fax:** (309) 837-5800
- **Mailing address:** 501 E GRANT ST, UNIT 4, MACOMB, IL 61455-3374
- **Mailing address phone:** (309) 837-2100
- **Mailing address fax:** (309) 837-5800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | 036089354 | IL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 01/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036089354 | — | IL |