Individual
KASAUNDRA M DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
(815) 766-9647
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
(815) 766-9647
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
8655343-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
209032651
IL
367500000X
Certified Registered Nurse Anesthetist
6548
NC
367500000X
Certified Registered Nurse Anesthetist
67807
NM
Other
Enumeration date
12/16/2020
Last updated
10/27/2025
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