OrganizationActive
Nicasa
NPI 1912950460 · Voluntary or Charitable Agency · Round Lake, IL
Provider details
- NPI number
- 1912950460
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Linda Snelten, Dir of Administration(847) 546-6450
- License
- A-0614-0004-A (IL)
Specialties & taxonomies
Agencies
Practice location
31979 N Fish Lake Rd
Round Lake, IL 60073-9517
Phone: (847) 546-6450
Fax: (847) 546-6760
Approximate (ZIP-level) locationGet directions
Mailing address
31979 N Fish Lake Rd
Round Lake, IL 60073-9517
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2019-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.