Michael Albert Cascio, DDS
Individual provider Active NPI Dentist · Harwood Heights, IL
NPI 1255676540 · NPPES record last updated Nov 28, 2012
Key facts
- NPI
- 1255676540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019020598 (IL)
- Practice address
- 7340 W Lawrence Ave
Harwood Heights, IL 60706-3504 - Phone
- (708) 867-0100
- Fax
- (708) 867-8741
- NPI assigned
- Nov 28, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210002484 | IL | Order and Referring Only - Other (Non-Physician) | 5890099915 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a. Cascio DDS LTD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019020598 | IL | Yes |
Addresses
Primary practice location
7340 W Lawrence Ave
Harwood Heights, IL 60706-3504
Mailing address
7340 W Lawrence Ave
Harwood Heights, IL 60706-3504
Phone (708) 867-0100
Other providers in Harwood Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.