EDWARD RAUL CASAS


Address: 1603 Orrington Ave Ste 1600, Evanston, IL 60201-5064
Phone: 8475831619

EDWARD RAUL CASAS (NPI# 1407368749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407368749
Entity Type Individual
Full Name EDWARD RAUL CASAS
Credential MD
Practice Address 1603 Orrington Ave Ste 1600
Evanston
IL 60201-5064
Practice Telephone 8475831619
Practice Fax Number 8475831426
Mailing Telephone 8475831619
Mailing Fax Number 8475831426
Enumeration Date 2017-10-26
Last Update Date 2017-10-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 036079635 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL LICENSED PHYSICIAN AND SURGEON 036079635 01

Office Location

Street Address 1603 ORRINGTON AVE STE 1600
City EVANSTON
State IL
Zip Code 60201-5064

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1962776856 Resurrection Services General Practice 800 Austin St, Suite 501 West Tower, Evanston, IL 60202-3439 2012-02-24
1851660393 Edward Fx Hughes General Practice 810 Lincoln St, Evanston, IL 60201-2405 2011-12-28
1316011562 State of Wyoming General Practice 831 State Highway 150 S, Evanston, WY 82930-5340 2006-11-20

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Competitor

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City EVANSTON
Zip Code 60201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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