Organization
CORWIN MEDICAL CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE C CORWIN M.D. (PRESIDENT)
(815) 436-8831
Entity
Organization
Contact information
Practice address
15728 S ROUTE 59, PLAINFIELD, IL 60544-2693
(815) 436-8831
(815) 436-6863
Mailing address
15728 S ROUTE 59, PLAINFIELD, IL 60544-2693
(815) 436-8831
(815) 436-6863
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31601109
BLUE CROSS BLUE SHEILD PROVIDER NUMBER
IL
01
—
CH1060
RAILROAD GROUP NUMBER
IL
Enumeration date
01/12/2007
Last updated
07/21/2022
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