SearchIllinois183500000X

Jacob Casson

NPI 1912511304 · on the registry since 2020

Practice

Address
1422 E Elm St
Streator, IL 61364
Phone
(618) 315-5803

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-02

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