Individual
J ERIC D CASTRO
Active
Individual
J ERIC D CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
036103419
IL
207NS0135X
Procedural Dermatology Physician
71511
AZ
207P00000X
Emergency Medicine Physician
Primary
036103419
IL
207P00000X
Emergency Medicine Physician
53459-20
WI
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
036103419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103419
—
IL
01
—
1316971807
BLUE CROSS BLUE SHIELD
WI
05
—
1316971807
—
WI
01
—
P00264268
RAILROAD MEDICARE
IL
Enumeration date
07/10/2006
Last updated
10/20/2023
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