Individual
DR. PAUL CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, SUITE 177, CHICAGO, IL 60612-3833
(312) 942-4978
(312) 942-4021
Mailing address
500 S CLINTON ST, UNIT 620, CHICAGO, IL 60607-4319
(708) 218-1094
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036119212
IL
390200000X
Student in an Organized Health Care Education/Training Program
125-050046
IL
Other
Enumeration date
05/23/2007
Last updated
06/03/2010
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