Individual
CASSIE MARIE ISHMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HSHS ST. ELIZABETH'S HOSPITAL, 1 SAINT ELIZABETH BLVD, O'FALLON, IL 62269
(618) 234-2120
Mailing address
1496 TADPOLE LN, CENTRALIA, IL 62801-4253
(708) 710-2142
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010648
IL
Other
Enumeration date
08/19/2013
Last updated
07/28/2022
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