IndividualActive
Robert Dougherty, PA-C
NPI 1891787529 · Medical Physician Assistant · Casey, IL
Provider details
- NPI number
- 1891787529
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085000498 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
412 Nw 3rd St
Casey, IL 62420-1014
Phone: (217) 932-4061
Fax: (217) 932-5191
Approximate (ZIP-level) locationGet directions
Mailing address
4114 E US 40
Casey, IL 62420-3113
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.