Individual
AMY CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
446 E ONTARIO ST FL 6, CHICAGO, IL 60611-7105
(312) 695-5060
Mailing address
446 E ONTARIO ST # 7-200, CHICAGO, IL 60611-4418
(312) 695-4399
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
036-136702
IL
2084P0800X
Psychiatry Physician
036-136702
IL
Other
Enumeration date
04/03/2012
Last updated
05/02/2019
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