Provider Demographics
NPI:1598060998
Name:GABEL, CASEY (CD)
Entity Type:Individual
Prefix:MS
First Name:CASEY
Middle Name:
Last Name:GABEL
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 W. AUGUSTA BLVD
Mailing Address - Street 2:#2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-7631
Mailing Address - Country:US
Mailing Address - Phone:773-255-3044
Mailing Address - Fax:
Practice Address - Street 1:3109 W. AUGUSTA BLVD
Practice Address - Street 2:#2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-7631
Practice Address - Country:US
Practice Address - Phone:773-255-3044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula