Provider Information for 1851064372
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ALEKSANDER CASAS
Sex: Male
NPI: 1851064372
Last Updated: 2024-02-02
Certification Date: 2024-02-02
Certification Date: 2024-02-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1851064372 | ||||||||
| Enumeration Date | 2021-07-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4025 N SHERIDAN RD CHICAGO, IL 60613-2010 United States Phone: 773-951-4977 | Fax:773-388-8936 | ||||||||
| Primary Practice Address | 4025 N SHERIDAN RD CHICAGO, IL 60613-2010 United States Phone: 773-388-1600 | Fax:773-388-8936 | ||||||||
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