Individual
MRS. JACLYN A CASKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041405406
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209018824
IL
Other
Enumeration date
02/18/2019
Last updated
05/21/2019
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