Individual
EMILY CASSELBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1111 SUPERIOR ST, SUITE 104, MELROSE PARK, IL 60160-4138
(708) 486-2700
(708) 486-2702
Mailing address
1111 SUPERIOR ST, SUITE 104, MELROSE PARK, IL 60160-4138
(708) 486-2700
(708) 486-2702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011891
IL
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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