Organization
JENECSIS CASTRO-SKOGLUND SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENECSIS CASTRO-SKOGLUND MD (OWNER)
(309) 689-8370
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 114, PEORIA, IL 61614-5098
(309) 689-8370
(309) 689-8380
Mailing address
5401 N KNOXVILLE AVE, SUITE 114, PEORIA, IL 61614-5098
(309) 689-8370
(309) 689-8380
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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