Provider Information for 1316299258
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CASSANDRA D APRIL
Sex: Female
NPI: 1316299258
Last Updated: 2023-11-01
Certification Date: 2023-11-01
Certification Date: 2023-11-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316299258 | ||||||||
| Enumeration Date | 2012-10-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 15 FOUNDERS LN SUITE 100 JACKSONVILLE, IL 62650-3919 United States Phone: 217-240-0300 | Fax: | ||||||||
| Primary Practice Address | 2600 S MICHIGAN AVE STE 104 CHICAGO, IL 60616-2857 United States Phone: 224-275-1712 | Fax: | ||||||||
| Secondary Practice Address(es) | 15 FOUNDERS LN | ||||||||
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