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Individual

JENECSIS CASTRO-SKOGLUND

Active
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Individual

JENECSIS CASTRO-SKOGLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036093944
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036093944
IL
01
055562
HEALTH ALLIANCE
IL
01
07232028
BLUE CROSS BLUE SHIELD
IL
01
383653744
TAX ID
IL
01
IL0101
JOHN DEERE
IL
Enumeration date
08/31/2006
Last updated
11/13/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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