Cornell, Kathleen N
Cornell, Kathleen N is an individual health care provider with primary practice located at 3880 Salem Lake Dr Ste F , Long Grove IL 60047-5292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cornell, Kathleen N can be contacted via phone (847) 719-2220.Contact Information
Primary practice address
3880 Salem Lake Dr Ste F
Long Grove IL 60047-5292
Phone: (847) 719-2220
Fax: (847) 719-2265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 385000378 | Illinois |
Profile Details
| NPI number | 1447295381 |
|---|---|
| LBN Legal business name | Cornell, Kathleen N |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447295381 | NPPES |
| Illinois | MEDICAID | 085001000 |
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