Cornelius, Lori A

Cornelius, Lori A is an individual health care provider with primary practice located at 990 N Kinzie Ave , Bradley IL 60915-1233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cornelius, Lori A can be contacted via phone (815) 933-2589.

Contact Information

Primary practice address
990 N Kinzie Ave Bradley IL 60915-1233
Phone: (815) 933-2589
Fax: (815) 634-5253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704414731 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013527 Illinois

Profile Details

NPI number 1275906828
LBN Legal business name Cornelius, Lori A
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated Apr 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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