Individual
GEOFFREY A. MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7900 W JEFFERSON BLVD STE 306, FORT WAYNE, IN 46804-4128
(260) 458-3610
(260) 458-3611
Mailing address
855 W. MADISON STREET, OAK PARK, IL 60302
(708) 386-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003735A
IN
Other
Enumeration date
10/03/2011
Last updated
11/29/2017
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