Jean L Corte, MD
Individual provider Active NPI Pediatrics Physician · Lagrange, IL
NPI 1801975685 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801975685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- Practice address
- 4727 Willow Springs Road
Lagrange, IL 60525 - Phone
- (708) 588-0088
- Fax
- (708) 588-0588
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036064345 | IL | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | IL | Yes |
Addresses
Primary practice location
4727 Willow Springs Road
Lagrange, IL 60525
Mailing address
4727 Willow Springs Road
Lagrange, IL 60525
Phone (708) 588-0088
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31600748 | Other | IL | BLUE SHIELD |
Other providers in Lagrange, IL
- Adventist Health Partners,Inc
- Barbara Baldassarre
- Kevin E Collins
- Adriana Digianfilippo
- Sadaf M Elahi
- Family Medical Center of Lagrange LTD
- Thomas J Furey
- John Garino
All providers in Lagrange, IL · Pediatrics 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 Jul 8, 2007. 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.