Provider Demographics
NPI:1750568697
Name:CASEY, DANA M (CNP, CNS, MSN)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:M
Last Name:CASEY
Suffix:
Gender:F
Credentials:CNP, CNS, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:216 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1929
Mailing Address - Country:US
Mailing Address - Phone:847-221-4400
Mailing Address - Fax:847-221-4465
Practice Address - Street 1:216 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1929
Practice Address - Country:US
Practice Address - Phone:847-221-4400
Practice Address - Fax:847-221-4465
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.006823363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health