Individual
DR. ROBERTO PEPE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036094399
IL
207R00000X
Internal Medicine Physician
036094399
IL
207R00000X
Internal Medicine Physician
Primary
39883
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626571
BLUE CROSS & BLUE SHIELD
IL
05
—
036094399
—
IL
01
—
1619414
BCBS GROUP
IL
05
—
3633309286030501
—
IL
Enumeration date
09/23/2005
Last updated
12/13/2011
Update your record
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