Isabelo Castillo, MDSC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036089354 Issued in IL

Legal business name

ISABELO CASTILLO, MDSC

Practice address

501 E Grant St
Unit 4
Macomb, IL 61455-3374

Phone

(309) 837-2100

Fax

(309) 837-5800

NPI assigned

Nov 14, 2006

Organization subpart

Yes

Parent organization

ISABELO CASTILLO, MDSCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Isabelo Christopher Castillo, MD

Title

President

Phone

(309) 837-2100

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Isabelo Castillo MD PC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1588736847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E GRANT ST",
            "address_2": "UNIT 4",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553374",
            "telephone_number": "309-837-2100",
            "fax_number": "309-837-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E GRANT ST",
            "address_2": "UNIT 4",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553374",
            "telephone_number": "309-837-2100",
            "fax_number": "309-837-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELO CASTILLO, MDSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISABELO CASTILLO, MDSC",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ISABELO",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-837-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036089354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089354",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Hoyt
• Hy-Vee Inc
• Idol R Mitchell DPM PC
• Illinois Medicaid-Substance Abuse Macomb
• Erika Dawn Ingolia, BCABA
• Daphne Isme, FNP-C
• Richard Bruce Iverson, MD
• Vicki Ann Jobe-Crosby, LCPC
• Rosemary Irene John, CRSS, CADC
• Mona S Johnston, PHD

• Medical Specialty Clinic/Center in Macomb, IL
• Providers in Macomb, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.