Carol June Easley
Individual provider Active NPI Day Training/Habilitation Specialist · Beardstown, IL
NPI 1568940971 · NPPES record last updated Jul 30, 2018
Key facts
- NPI
- 1568940971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 121 E 2ND St
Beardstown, IL 62618-1263 - Phone
- (217) 323-2980
- Fax
- (217) 323-3771
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
121 E 2ND St
Beardstown, IL 62618-1263
Mailing address
121 E 2ND St
Beardstown, IL 62618-1263
Phone (217) 323-2980
Other providers in Beardstown, IL
- Amber Crowley
- Robin A Days
- Betty Jean Degroot
- Dental Professionals of Illinois, P.C.
- Tamara Dodds
- Audra Jaye Elam
- Courtney Brooke Elliott
- Cynthia J Elliott
- Kadie Lee Ellner
- Michael David Elmore
All providers in Beardstown, IL · Day Training/Habilitation Specialist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.