Individual
COREY MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 RAVINE WAY, SUITE 200, GLENVIEW, IL 60025-7645
(847) 998-5680
Mailing address
900 RAND RD, SUTIE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
02/10/2022
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