Provider Demographics
NPI:1558306787
Name:CASKEY, RACHEL NORA (MD, MAPP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:NORA
Last Name:CASKEY
Suffix:
Gender:F
Credentials:MD, MAPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:840 S WOOD ST
Mailing Address - Street 2:CLINICAL SCIENCES NORTH 440, M/C 718
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-413-1595
Mailing Address - Fax:312-413-8283
Practice Address - Street 1:840 S WOOD ST
Practice Address - Street 2:CLINICAL SCIENCES NORTH 440, M/C 718
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4325
Practice Address - Country:US
Practice Address - Phone:312-413-1595
Practice Address - Fax:312-413-8283
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-115695207R00000X
IL036115695208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics