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Jenecsis Castro-skoglund Sc
Clinic/Center in Peoria, Illinois
NPI 1679753123

Jenecsis Castro-skoglund Sc is a Clinic/Center based in Peoria, IL. Jenecsis Castro-skoglund Sc practices in Peoria, IL. The NPI Number for Jenecsis Castro-skoglund Sc is 1679753123 and holds a License No. (Illinois).

The current practice location address for Jenecsis Castro-skoglund Sc is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-689-8370 and via fax at 309-689-8380.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679753123
Provider Name
Jenecsis Castro-skoglund Sc
Credential
Provider Entity Type
Organization
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-689-8370
Fax Number
309-689-8380
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-689-8370
Fax Number
309-689-8380
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-689-8370
Fax Number
309-689-8380
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Illinois)
Definition
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).
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