Provider Demographics
NPI:1144218553
Name:CASCINO, CHRISTOPHER J (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:J
Last Name:CASCINO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:901 CENTER ST
Mailing Address - Street 2:STE 3003
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-2104
Mailing Address - Country:US
Mailing Address - Phone:847-695-6611
Mailing Address - Fax:847-695-8069
Practice Address - Street 1:901 CENTER ST
Practice Address - Street 2:STE 3003
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-2104
Practice Address - Country:US
Practice Address - Phone:847-695-6611
Practice Address - Fax:847-695-8069
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036086917207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21602371OtherBCBS PROVIDER #
IL036086917Medicaid
F80916Medicare UPIN