Individual
MRS. ANGELA CASOLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2191
(618) 662-8090
Mailing address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2191
(618) 662-8090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012534
IL
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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