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Individual

DR. TIMOTHY J CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1790 NATIONS DR STE 106, GURNEE, IL 60031-9175
(847) 360-1330
(847) 360-9271
Mailing address
1790 NATIONS DR STE 106, GURNEE, IL 60031-9175
(847) 360-1330
(847) 360-9271

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004717
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04927009
BCBS OF ILLINOIS
Enumeration date
08/16/2005
Last updated
04/10/2020
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