Isabelo Castillo, Mdsc

LBN: Isabelo Castillo, Mdsc
Isabelo Castillo, Mdsc is an health care organization with primary practice located at 501 E Grant St Unit 4, Macomb IL 61455-3374. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Isabelo Castillo, Mdsc can be contacted via phone (309) 837-2100, or through Castillo, Isabelo Christopher via phone (309) 837-2100.

Contact Information

Primary practice address
501 E Grant St Unit 4 Macomb IL 61455-3374
Phone: (309) 837-2100
Fax: (309) 837-5800
Website:
Map and Directions
Authorized official contact:
Name: Castillo, Isabelo Christopher Doctor of Medicine (MD)
Phone: (309) 837-2100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 036089354 Illinois

Profile Details

NPI number 1588736847
LBN Legal business name Isabelo Castillo, Mdsc
DBA Doing business as
Authorized official Castillo, Isabelo Christopher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 14th, 2006
Last updated Jan 24th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588736847 NPPES
Illinois MEDICAID 036089354

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