Individual
MRS. LORI A CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
990 N KINZIE AVE, BRADLEY, IL 60915-1233
(815) 933-2589
(815) 634-5253
Mailing address
990 N KINZIE AVE, BRADLEY, IL 60915-1233
(815) 933-2589
(815) 634-5253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013527
IL
363LF0000X
Family Nurse Practitioner
4704414731
MI
Other
Enumeration date
11/04/2015
Last updated
04/22/2024
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