person
Kathleen N Cornell, PA
Medical Physician Assistant in Long Grove, Illinois
NPI 1447295381

Kathleen N Cornell is a Medical Physician Assistant based in Long Grove, IL and is specialized in Medical. Kathleen N Cornell practices in Long Grove, IL and has the professional credentials of PA. The NPI Number for Kathleen N Cornell is 1447295381 and holds a License No. 385000378 (Illinois).

The current practice location address for Kathleen N Cornell is 3880 Salem Lake Dr Ste F, Long Grove, IL and can be reached out via phone at 847-719-2220 and via fax at 847-719-2265.

Location: 3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
person
Provider Profile Details
NPI Number
1447295381
Provider Name
Kathleen N Cornell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085001000 05 IL
institution
Provider Business Practice Location Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider Business Mailing Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
385000378 (Illinois)
Definition
Definition to come...
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