Individual
RINA ELIZABETH CASLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 S PARK AVE FL 2, HERRIN, IL 62948-3602
(618) 988-6240
Mailing address
1239 E MAIN ST, CARBONDALE, IL 62901-3175
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016847
IL
363LF0000X
Family Nurse Practitioner
209.016847
IL
Other
Enumeration date
11/01/2017
Last updated
09/14/2023
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