Individual
MR. JEREMY DAVID CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
5844 WALNUT AVE, APT 2C, DOWNERS GROVE, IL 60516-6022
(315) 368-7457
Mailing address
5844 WALNUT AVE, APT 2C, DOWNERS GROVE, IL 60516-6022
(315) 368-7457
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000842
IL
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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