Individual
CASEY L CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1306 MAPLE ST, ELDORADO, IL 62930
(618) 273-3361
(618) 273-2504
Mailing address
1306 MAPLE ST, ELDORADO, IL 62930-1662
(618) 273-3361
(618) 273-2504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009320
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209009320
IL
363LP2300X
Primary Care Nurse Practitioner
209009320
IL
Other
Enumeration date
01/05/2012
Last updated
08/27/2018
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