Organization
CORNUCOPIA STAFFING SOLUTIONS CORP
Active
Other names
Cornucopia Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORPIA KEYES MD (PRESIDENT/MEDICAL DIRECTOR)
(866) 375-3937
Entity
Organization
Contact information
Practice address
75 EXECUTIVE DR., ST 305-307, AURORA, IL 60504-6050
(866) 375-3937
(312) 488-3637
Mailing address
100 ILLINOIS ST STE 200, SAINT CHARLES, IL 60174-1867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
05/14/2020
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