Individual
MR. TIMOTHY K. CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, ATC, CSCS
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 641-5800
Mailing address
1190 LARKSPUR DR., MASCOUTAH, IL 62258
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
096.002233
IL
Other
Enumeration date
04/24/2007
Last updated
01/15/2010
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