Provider Demographics
NPI:1952969115
Name:STORINO, CAITLIN (DO)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:
Last Name:STORINO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 713260
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-1260
Mailing Address - Country:US
Mailing Address - Phone:630-469-9200
Mailing Address - Fax:
Practice Address - Street 1:4861 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2521
Practice Address - Country:US
Practice Address - Phone:708-423-2880
Practice Address - Fax:708-499-0993
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-161766207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine