Individual
CYNTHIA R CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
(708) 873-0062
(708) 873-1820
Mailing address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
(708) 873-0062
(708) 873-1820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209006990
IL
363LF0000X
Family Nurse Practitioner
71000102A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062090
—
IN
01
—
P00058964
TRAVELERS MCR PROVIDER #
IN
Enumeration date
07/20/2005
Last updated
01/20/2011
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