Jenecsis Castro-Skoglund SC
Jenecsis Castro-Skoglund SC is a Clinic/Center in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
5401 N Knoxville Ave Ste 114Peoria, IL 61614-5098
Phone: (309) 689-8370
Fax: (309) 689-8380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X (IL) |
|---|
Record details
| NPI number | 1679753123 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jenecsis Castro-Skoglund — Owner · (309) 689-8370 |
| NPI enumerated | November 13, 2007 |
| Last updated in NPPES | November 13, 2007 |
| Mailing address | 5401 N Knoxville Ave, Suite 114, Peoria, IL 61614-5098 |
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