Individual
AGNES GRACE CASHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
16750 W 159TH ST, LOCKPORT, IL 60441-7968
(800) 323-8622
(224) 225-0372
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14816-33
WI
363LF0000X
Family Nurse Practitioner
Primary
209016694
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100272787
—
WI
Enumeration date
02/27/2018
Last updated
09/23/2024
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