Individual
EDWARD RAUL CASAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1603 ORRINGTON AVE STE 1600, EVANSTON, IL 60201-5064
(847) 583-1619
(847) 583-1426
Mailing address
1603 ORRINGTON AVE STE 1600, EVANSTON, IL 60201-5064
(847) 583-1619
(847) 583-1426
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036079635
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036079635
LICENSED PHYSICIAN AND SURGEON
IL
Enumeration date
10/26/2017
Last updated
10/26/2017
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