Provider Demographics
NPI:1780561902
Name:MCCASKILL, MARIAH ERIN TAYLOR
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:ERIN TAYLOR
Last Name:MCCASKILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2156
Mailing Address - Country:US
Mailing Address - Phone:312-730-0172
Mailing Address - Fax:
Practice Address - Street 1:2717 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2156
Practice Address - Country:US
Practice Address - Phone:312-730-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.539834163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse