Corewellness Medical
Organization Active NPI General Practice Physician · Kildeer, IL
NPI 1801260997 · NPPES record last updated Feb 19, 2016
Key facts
- NPI
- 1801260997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- COREWELLNESS MEDICAL
- Practice address
- 20876 Rand Rd
Kildeer, IL 60010-3707 - Phone
- (847) 726-0044
- NPI assigned
- Nov 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Gramt Reffell
- Title
- Owner
- Phone
- (847) 726-0044
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
20876 Rand Rd
Kildeer, IL 60010-3707
Mailing address
20876 Rand Rd
Kildeer, IL 60010-3707
Phone (847) 726-0044
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All providers in Kildeer, IL · General Practice Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.