DR. MARIA CAROLINA CASTILLO CLAVIJO


Address: 1200 W State St, Crusader Community Health, Rockford, IL 61102-2112
Phone: 8154901600

DR. MARIA CAROLINA CASTILLO CLAVIJO (NPI# 1285881029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285881029
Entity Type Individual
Full Name DR. MARIA CAROLINA CASTILLO CLAVIJO
Credential MD
Practice Address 1200 W State St
Crusader Community Health
Rockford
IL 61102-2112
Mailing Address 1200 W State St
Rockford
IL 61102-2112
Practice Telephone 8154901600
Practice Fax Number 8155471595
Mailing Telephone 8154901600
Mailing Fax Number 8155471595
Enumeration Date 2008-08-23
Last Update Date 2014-07-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 036120062 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1200 W STATE ST
CRUSADER COMMUNITY HEALTH
City ROCKFORD
State IL
Zip Code 61102-2112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780680827 Barbara B Morgan Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2005-06-23
1588271894 Angela Siebold Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2020-09-30
1942814322 Jacqueline Paige Cabrera Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2020-09-03
1285250951 Aaleeyah Pringle Alim Dentist 1200 W State St, Rockford, IL 61102-2112 2020-06-18
1639792419 Jessica Lauren Cole Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-05-27
1437779071 Christian Murillo Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-04-23
1033746573 Erin Ashleigh Donahue Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-03-25
1609406008 Marissa Dreger Family Medicine 1200 W State St, Rockford, IL 61102-2112 2020-01-24
1962041657 Sabrina Lee Puvalowski Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2019-12-30
1932741717 Jacob Dalton Boehm Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2019-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205115383 Renee Lynn Keeney Advanced Practice Midwife 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 2011-08-08
1689895906 Linda Lou O'reilly Local Education Agency (LEA) 1515 S. Meridian Road, Rockford, IL 61102 2007-05-02
1801012992 Jennifer Anne Boyd Developmental Therapist Nia 1515 S. Meridian Rd., Rockford, IL 61102 2007-04-17
1609173434 Kellie J Gibbons Registered Nurse 650 W State Street, Winnebago County Jail Medical Unit, Rockford, IL 61102-0000 2011-02-14
1275708752 Mercy Ambulance Service LLC Ambulance 1025 Campton Dr, Rockford, IL 61102-1066 2008-04-25
1417448424 Brittany Nicole Lambert Student in an Organized Health Care Education/Training Program 8040 Towermont Dr, Rockford, IL 61102-1080 2018-05-24
1164490132 Harlan Johnson Counselor 852 Lakewood Dr, Rockford, IL 61102-1228 2006-03-08
1184137283 Gail Mary Swenson Speech-Language Pathologist 730 Lincoln Park Blvd, Rockford, IL 61102-1429 2017-11-10
1659316339 Institute of Family Care Home Health 417 S Pierpont Ave, Rockford, IL 61102-1656 2006-06-18
1861851438 Walgreen Co Durable Medical Equipment & Medical Supplies 1200 W State St Ste 102, Rockford, IL 61102-2112 2016-02-11
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114470945 Swedishamerican Hospital Pediatrics 461 N Mulford Rd Ste 4, Rockford, IL 61107-5165 2016-07-28
1720236680 Kim Le Alt Pediatrics 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 2008-09-04
1942310131 William D. Hutt Pediatrics 5970 Churchview Dr, Rockford, IL 61107-2574 2006-08-30
1740290600 Antonio R Baluga Pediatrics 6905 E State Street, Rockford, IL 61108 2006-08-09
1912911785 Ignacio U Omengan Pediatrics 461 N Mulford Rd #10, Rockford, IL 61107 2006-07-28
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1962451732 Swedishamerican Hospital Pediatrics 2550 Charles St, Rockford, IL 61108 2006-05-09
1518947258 Beezer Moolji Pediatrics 2400 N. Rockton Ave, Rockford Health Physicians, Rockford, IL 61103-3619 2006-01-19
1003899196 Thomas Danko Pediatrics 1401 E State St, Rockford, IL 61104-2315 2005-11-22
1508306093 Rockford Pediatrics, PC Pediatrics 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 2017-03-02
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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