Individual
DR. CASEY ELLIS DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 MEDICAL PARK DR, DEPARTMENT OF RADIATION ONCOLOGY, EFFINGHAM, IL 62401-2190
(217) 342-2066
(217) 342-2074
Mailing address
905 MEDICAL PARK DR, DEPARTMENT OF RADIATION ONCOLOGY, EFFINGHAM, IL 62401-2190
(217) 342-2066
(217) 342-2074
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036137340
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036137340
—
IL
01
—
1487720942
NPI
—
01
—
295078
HEALTH ALLIANCE
—
01
—
P01615119
MEDICARE RR PALMETTO GBA
—
Enumeration date
11/28/2006
Last updated
07/12/2016
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