Individual
CORINNE NAWROCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1890 SILVER CROSS BLVD, SUITE 570, NEW LENOX, IL 60451-9508
(815) 463-3700
(815) 463-3701
Mailing address
1890 SILVER CROSS BLVD, SUITE 570, NEW LENOX, IL 60451-9508
(815) 463-3700
(815) 463-3701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036100791
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100791
—
IL
01
—
080158538
R/R MEDICARE
—
05
—
200300190
—
IN
Enumeration date
08/31/2006
Last updated
01/20/2015
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