Individual
MR. CORY J HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1303 W EVERGREEN AVE STE 201, EFFINGHAM, IL 62401-1638
(217) 347-1422
(217) 342-3402
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
277-001116
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101740050
—
MO
05
—
190421758
—
AR
Enumeration date
05/12/2010
Last updated
12/28/2023
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