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Organization
DR. LEA A. CORNISH, P.C.
Active
Organization
DR. LEA A. CORNISH, P.C.
Active
Other names
Cornish Chiropractic, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEA ANN CORNISH D.C. (PRESIDENT)
(630) 385-6200
Entity
Organization
Contact information
Practice address
624 W VETERANS PKWY, SUITE A, YORKVILLE, IL 60560-2505
(630) 385-6200
(630) 385-8526
Mailing address
624 W VETERANS PKWY, SUITE A, YORKVILLE, IL 60560-2505
(630) 385-6200
(630) 385-8526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02206815
BC/BS #
IL
01
—
1073680260
INDIVIDUAL NPI
IL
01
—
5162162
AETNA
IL
Enumeration date
09/04/2007
Last updated
06/21/2018
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