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Contact Information

JEREMY D CORNISH, LAC.
5844 WALNUT AVE
APT 2C
DOWNERS GROVE, IL60516-6022
 Phone: 315-368-7457
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JEREMY D CORNISH · (Male)

NPI # 1902136294
Status Active
Credentials LAC.
Entity Individual
Enumeration date 01/08/2010
Last updated 01/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 198000842
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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