Individual
KASEY SIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
598 SPRING PARK LOOP, BOURBONNAIS, IL 60914-4968
(815) 671-7092
Mailing address
984 FLAMINGO LN, BRADLEY, IL 60915-1314
(815) 592-8488
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
471369537
IL
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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