Myrlie Larena Casco, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036056767 Issued in IL

Practice address

1105 Milwaukee Ave
Riverwoods, IL 60015-3512

Phone

(847) 325-5110

Fax

(847) 325-5114

NPI assigned

May 19, 2006

Last updated

Dec 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tamid Medical GroupGroup PAC ID 4587560594, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midway Neurological / Rehab Center Nursing home, Bridgeview, IL, CCN 145778

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tamid Medical Group

  • Internal Medicine Physician
  • Riverwoods, IL
  • NPI 1689744245
  Medicare reassignment Care Compare group NPD
• B&a Health Provider LLC

  • Family Medicine Physician
  • Darien, IL
  • NPI 1699377200
  Medicare reassignment NPD
• Illinois Doctors on Demand

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1780148072
  Medicare reassignment NPD
• Integra Medical Doctors Inc

  • Specialist
  • Hoffman Estates, IL
  • NPI 1700189677
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midway Neurological and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Bridgeview, IL
  • NPI 1740256155

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1093768004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MILWAUKEE AVE",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153512",
            "telephone_number": "847-325-5110",
            "fax_number": "847-325-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MILWAUKEE AVE",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153512",
            "telephone_number": "847-325-5110",
            "fax_number": "847-325-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCO",
        "first_name": "MYRLIE",
        "middle_name": "LARENA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036056767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056767",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brentwood North Healthcare Center, LLC
• Brentwood Northhealthcare and Rehabilitation Centre
• Noel Sherwin Browdy, MD
• Allison Brown, PHD
• Christopher James Broz, PA-C
• Center for Enriched Living
• Heather Lynn Conkle, PTA
• Catherine Mary Cotter, L.C.S.W.
• Alisa Courtney, LCPC
• Creative Therapy Resource, LTD

• Family Medicine Physician in Riverwoods, IL
• Providers in Riverwoods, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.