Organization
ISABELO CASTILLO, MDSC
Active
Parent organization
ISABELO CASTILLO, MDSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISABELO CASTILLO, MDSC
Authorized official
DR. ISABELO CHRISTOPHER CASTILLO MD (PRESIDENT)
(309) 837-2100
Entity
Organization
Contact information
Practice address
501 E GRANT ST, UNIT 4, MACOMB, IL 61455-3374
(309) 837-2100
(309) 837-5800
Mailing address
501 E GRANT ST, UNIT 4, MACOMB, IL 61455-3374
(309) 837-2100
(309) 837-5800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
036089354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089354
—
IL
Enumeration date
11/14/2006
Last updated
01/24/2011
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