Castro, J Eric D
Castro, J Eric D is an individual health care provider with primary practice located at 1105 W Park Ave Ste 7 , Libertyville IL 60048-2567. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Castro, J Eric D can be contacted via phone (847) 773-0369.Contact Information
Primary practice address
1105 W Park Ave Ste 7
Libertyville IL 60048-2567
Phone: (847) 773-0369
Fax: (847) 201-2573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036103419 | Illinois |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 71511 | Arizona |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 53459-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 2083B0002X | 036103419 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036103419 | Illinois |
Profile Details
| NPI number | 1316971807 |
|---|---|
| LBN Legal business name | Castro, J Eric D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Oct 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316971807 | NPPES |
| Illinois | Other | P00264268 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 036103419 | RAILROAD MEDICARE |
| Illinois | Other | 1316971807 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 1316971807 | RAILROAD MEDICARE |
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