Healthcare Provider Details

I. General information

NPI: 1750568697
Provider Name (Legal Business Name): DANA M CASEY CNP, CNS, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 09/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 S ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS IL
60005-1929
US

IV. Provider business mailing address

216 S ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS IL
60005-1929
US

V. Phone/Fax

Practice location:
  • Phone: 847-221-4400
  • Fax: 847-221-4465
Mailing address:
  • Phone: 847-221-4400
  • Fax: 847-221-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number209.006823
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: