Individual
JENNIFER MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
165 E PLANK RD, SYCAMORE, IL 60178-8757
(815) 758-8671
Mailing address
217 FRANKLIN ST, DEKALB, IL 60115-3742
(815) 758-8671
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008463
HEALTH ALLIANCE
IL
Enumeration date
08/13/2006
Last updated
03/07/2023
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