Individual
MR. CASEY CHRISTOPHER VERCRUYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
845 S ROUTE 51, FORSYTH, IL 62535
(217) 872-0953
Mailing address
845 S ROUTE 51, FORSYTH, IL 62535-9809
(217) 872-0953
(217) 872-2056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
09/13/2018
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