Provider Demographics
NPI:1811900830
Name:CASCIARO, KAREN D (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:CASCIARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 PAYSHERE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0001
Mailing Address - Country:US
Mailing Address - Phone:630-469-9200
Mailing Address - Fax:
Practice Address - Street 1:460 BRIARGATE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-2227
Practice Address - Country:US
Practice Address - Phone:847-697-9100
Practice Address - Fax:847-697-5105
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-083829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILA72231Medicare UPIN