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Individual

CORI HORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 WAUKEGAN RD STE 132, NORTHBROOK, IL 60062-1249
(847) 748-8733
Mailing address
1665 CLAVINIA AVE, DEERFIELD, IL 60015-3913
(847) 494-3337

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014637
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H62011076872
DRIVERS LICENSE
IL
Enumeration date
01/25/2022
Last updated
01/25/2022
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