Individual
DR. DAVID A CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15300 WEST AVE, ORLAND PARK, IL 60462-4600
(708) 460-5550
(708) 226-2595
Mailing address
15300 WEST AVE, ORLAND PARK, IL 60462-4600
(708) 226-2490
(708) 226-2499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36-070995
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070995
—
IL
Enumeration date
07/13/2006
Last updated
09/08/2020
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