DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICASA

Active Organization

NICASA is a Voluntary or Charitable organization located in ROUND LAKE, Illinois. NPI 1912950460 is currently active in the NPPES registry. Verify at CMS.

Voluntary or Charitable · ROUND LAKE, IL

Registration Details

NPI Number
1912950460
Provider Type
Organization
NPI Issued
May 18, 2006 (20.271676959533 yrs)
Last Updated
Aug 13, 2019
License
A-0614-0004-A (IL)

Practice Information

Address
31979 N FISH LAKE RD
ROUND LAKE, IL, 600739517
Browse IL providers · Browse ZIP 60073
Phone
8475466450
Fax
8475466760
Primary Specialty
Voluntary or Charitable
251V00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.