Healthcare Provider Details

I. General information

NPI: 1265089148
Provider Name (Legal Business Name): MS. CASEY REDMAN HOYT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2019
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N RANDALL RD STE 400
ELGIN IL
60123-7805
US

IV. Provider business mailing address

16838 E PALISADES BLVD STE B124
FOUNTAIN HILLS AZ
85268-3789
US

V. Phone/Fax

Practice location:
  • Phone: 847-381-8899
  • Fax:
Mailing address:
  • Phone: 480-905-8485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11241
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: