Cunningham, Cory

Cunningham, Cory is an sole proprietor health care provider with primary practice located at 15901 Cicero Ave , Oak Forest IL 60452-4005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cunningham, Cory can be contacted via phone (708) 633-1968.

Contact Information

Primary practice address
15901 Cicero Ave Oak Forest IL 60452-4005
Phone: (708) 633-1968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-001648 Illinois

Profile Details

NPI number 1932271913
LBN Legal business name Cunningham, Cory
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

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