IndividualActive
Clark Cochonour
NPI 1689368227 · Personal Care Attendant · Casey, IL
Provider details
- NPI number
- 1689368227
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
10728 N Milam Ln
Casey, IL 62420-3548
Phone: (217) 508-9911
Approximate (ZIP-level) locationGet directions
Mailing address
10728 N Milam Ln
Casey, IL 62420-3548
Registry dates
- Enumerated
- 2023-06-06
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.