SearchIllinois363L00000X

Casey Gustavison, ANP

NPI 1508004706 · on the registry since 2009

Practice

Address
409 W Oak St
Carbondale, IL 62901
Phone
(618) 529-4455
Fax
(618) 351-1287
Clinicians at this address
44

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois