Doctor Name: | JOSEPHINE NOELLA MCCASKILL |
NPI Number: | 1437168374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, BC |
License Number: | 209004940 |
Business Practice Address: | 3153 E Bending Creek Trail Crete, IL - 604170545 |
Business Phone Number: | 7736407944 |
Business Fax Number: | 7086724635 |
Mailing Address: | 3153 E Bending Creek Trail, Po Box 545 CRETE |
State: | IL |
Postal Code: | 604170545 |
Phone Number: | 7736407944 |
Fax Number: | 7086724635 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 11/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209004940 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |