Individual
DR. EILEEN CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 19TH AVE, SUITE 103, MOLINE, IL 61265-3700
(309) 779-7050
(309) 779-7055
Mailing address
106 19TH AVE, SUITE 103, MOLINE, IL 61265-3700
(309) 779-7050
(309) 779-7055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036104609
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036104609
BC ILLINOIS
IL
05
—
036104609
—
IL
05
—
0571000
—
IA
05
—
1104892215
—
IA
05
—
1571000
—
IA
Enumeration date
02/28/2006
Last updated
01/15/2014
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