Individual
DR. LEA ANN CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1025 OGDEN AVE, LISLE, IL 60532-4388
(630) 963-1410
(630) 963-1456
Mailing address
1025 OGDEN AVE, LISLE, IL 60532-4388
(630) 963-1410
(630) 963-1456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02206815
BLUE CROSS BLUE SHEILD
IL
01
—
5162162
AETNA
IL
Enumeration date
11/30/2006
Last updated
07/08/2007
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