Organization
EC PHYSICIAN AND WOUND SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH KERNS CORMIER MD (PHYSICIAN)
(847) 998-0862
Entity
Organization
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045
(847) 535-7600
Mailing address
625 GLENDALE DR, GLENVIEW, IL 60025-4412
(847) 998-0862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036076935
IL
Other
Enumeration date
05/29/2018
Last updated
08/14/2018
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