Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassidy Carrasco

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871285254

Cassidy Carrasco is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-2004
Phone: (806) 584-8146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1871285254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESMarch 23, 2024
Certification dateMarch 23, 2024
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

Other providers in Peoria