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Marie Ellen Corcoran, D/O
Family Medicine Physician in Wheaton, Illinois
NPI 1386759710

Marie Ellen Corcoran is a Family Medicine Physician based in Wheaton, IL. Marie Ellen Corcoran practices in Wheaton, IL and has the professional credentials of D/O. The NPI Number for Marie Ellen Corcoran is 1386759710 and holds a License No. 036058883 (Illinois).

The current practice location address for Marie Ellen Corcoran is 7 Blanchard Cir, Wheaton, IL and can be reached out via phone at 630-510-9009 and via fax at 630-510-0152.

Location: 7 Blanchard Cir, Wheaton, IL, 60189-2039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386759710
Provider Name
Marie Ellen Corcoran
Credential
D/O
Provider Entity Type
Individual
Gender
Female
Address
7 Blanchard Cir, Wheaton, IL, 60189-2039
Phone Number
630-510-9009
Fax Number
630-510-0152
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0222075 01 IL BLUE CROSS GROUP NUMBER
010044842 01 R/R MEDICARE
036058883 05 IL
3631498336019001 01 IL CDPG HFS PAYEE ID
363149833 01 IL TAX IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
7 Blanchard Cir
City
Wheaton
State
Illinois
Zip
60189-2039
Phone Number
630-510-9009
Fax Number
630-510-0152
person
Provider Business Mailing Address Details
Address
7 Blanchard Cir
City
Wheaton
State
Illinois
Zip
60189-2039
Phone Number
630-510-9009
Fax Number
630-510-0152
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036058883 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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