Individual
SALLY COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
036176025
IL
207X00000X
Orthopaedic Surgery Physician
72977
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036176025
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2013
Last updated
10/24/2025
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