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JENECSIS CASTRO-SKOGLUND SC
NPI 1679753123
Clinic/Center in Peoria, IL

Active since November 13, 2007
5401 N KNOXVILLE AVE, SUITE 114, PEORIA, IL 61614(309) 689-8370(309) 689-8380 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenecsis Castro-skoglund Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENECSIS CASTRO-SKOGLUND SC (NPI 1679753123) is a healthcare organization registered as a clinic/center in Peoria, Illinois and active in the NPI registry since November 2007. The organization lists Jenecsis Castro-skoglund, Owner, as its authorized official.

NPPES Registry Identity

NPI1679753123
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJENECSIS CASTRO-SKOGLUND SC
Location Address5401 N KNOXVILLE AVE, SUITE 114Peoria, IL 61614-5098
Mailing Address5401 N Knoxville Ave, Suite 114Peoria, IL 61614-5098 · (309) 689-8370 · Fax (309) 689-8380
Phone(309) 689-8370
Fax(309) 689-8380
Organization SubpartNo
Authorized OfficialJenecsis Castro-skoglundOwner · (309) 689-8370
Enumeration DateNovember 13, 2007
✔ NPI 1679753123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
5401 N KNOXVILLE AVE, Peoria, IL 61614
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Other Identifiers 1

Medicare PIN207156IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Peoria County (309) 689-8888
PATTI L ALLY
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Peoria County (309) 282-0887
PROCTOR HEALTH SYSTEMS
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Peoria County (309) 691-7800
MS. BARBARA J NALL APN
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Peoria County (309) 692-5100
SUSAN GWILLIM PT
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Peoria County (309) 693-2244
MR. KEVIN M HENRY MD
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Peoria County (309) 692-7246
MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
SUSAN J COLE, MD & ASSOCIATES
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614
Peoria County (309) 691-2311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenecsis Castro-Skoglund Sc's NPI number?

The NPI number for Jenecsis Castro-Skoglund Sc is 1679753123. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Jenecsis Castro-Skoglund Sc located?

Jenecsis Castro-Skoglund Sc is located at 5401 N Knoxville Ave Suite 114, Peoria, IL 61614. The listed phone number is (309) 689-8370.

What is Jenecsis Castro-Skoglund Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jenecsis Castro-Skoglund Sc was last updated on November 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.