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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