Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 036-143457 | IL |
NPI | 1093190506 |
---|---|
Provider Name | Angeline M Castillo-Febles |
First Address | Milwaukee, WI 53278-8866 |
Second Address | Rockford, IL 61104-2315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2015 |
Last Update Date | 19/03/2021 |