Organization Name: | JOSEPHINE N. MCCASKILL |
NPI Number: | 1194718742 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPHINE MCCASKILL (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 3153 E Bending Creek Trl Crete |
State: | IL US |
Postal Code: | 604173861 |
Phone Number: | 7736407944 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2005 |
NPI Last Update Date: | 10/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 209004940 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |