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NPI Code Detail

MEDICARE: KACEY FRANCES CAIN RN

MEDICARE: KACEY FRANCES CAIN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP2201XAmbulatory Care Registered Nurse041412644IL
2363LF0000XFamily Nurse Practitioner209027854IL

General Provider Information

NPI Number : 1316621824
Entity Type Code : Individual
Provider Name (Legal Business Name) : KACEY FRANCES CAIN RN
Provider Business Mailing Address
First Line : 1200 W PINES RD
Second Line :
City : OREGON
State : IL
Zip : 61061-8506
Country : US
Telephone Number : 815-541-3231
Fax Number :
Provider Business Practice Location Address
First Line : 1658 S IL ROUTE 2
Second Line :
City : OREGON
State : IL
Zip : 61061-9514
Country : US
Telephone Number : 815-732-2499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 07/14/2023

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Directions to “ KACEY FRANCES CAIN RN” Practice Location

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