Organization
CASEY FAMILY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN S HUDDLESTUN MS, APN, FNP (OWNER/PRESIDENT)
(217) 322-7506
Entity
Organization
Contact information
Practice address
11 N CENTRAL AVE, CASEY, IL 62420-1620
(217) 322-7506
Mailing address
11 N CENTRAL AVE, P.O. BOX 115, CASEY, IL 62420-1620
(217) 322-7506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.007538
IL
Other
Enumeration date
05/05/2009
Last updated
05/21/2009
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