Organization · Type 2 NPI

Jenecsis Castro-Skoglund SC

Clinic/Center · Peoria, IL

NPI number 1679753123 Active

Practice location

5401 N Knoxville Ave, Suite 114
Peoria, IL 61614-5098

Call (309) 689-8370 Map

Fax (309) 689-8380

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

79 other providers at this address

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About NPI 1679753123

Jenecsis Castro-Skoglund SC's National Provider Identifier is 1679753123, issued on Nov 13, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Peoria, IL. The record was last updated on Nov 13, 2007.