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NPI Code Detail

MEDICARE: DR. MICHAEL CASNER M.D.

MEDICARE: DR. MICHAEL CASNER M.D.
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
1207P00000XEmergency Medicine PhysicianIL

General Provider Information

NPI Number : 1922045731
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL CASNER M.D.
Provider Business Mailing Address
First Line : 555 W COURT ST
Second Line :
City : KANKAKEE
State : IL
Zip : 60901-3675
Country : US
Telephone Number : 888-828-3192
Fax Number :
Provider Business Practice Location Address
First Line : 1423 CHICAGO RD
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-3400
Country : US
Telephone Number : 708-756-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 07/08/2007

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