Provider Demographics
NPI:1487720942
Name:DUNCAN, CASEY ELLIS (MD)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:ELLIS
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:905 MEDICAL PARK DR
Mailing Address - Street 2:DEPARTMENT OF RADIATION ONCOLOGY
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-2190
Mailing Address - Country:US
Mailing Address - Phone:217-342-2066
Mailing Address - Fax:217-342-2074
Practice Address - Street 1:905 MEDICAL PARK DR
Practice Address - Street 2:DEPARTMENT OF RADIATION ONCOLOGY
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-2190
Practice Address - Country:US
Practice Address - Phone:217-342-2066
Practice Address - Fax:217-342-2074
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2016-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0361373402085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036137340Medicaid
1487720942OtherNPI
P01615119OtherMEDICARE RR PALMETTO GBA
295078OtherHEALTH ALLIANCE
1487720942OtherNPI