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Jeremy David Cornish, LAc.

Acupuncturist in Downers Grove, IL. Individual provider (NPI-1).

NPI number1902136294
StatusActive
Last updated in NPPESJan 8, 2010

Details

NPI
1902136294
Entity type
Individual (NPI-1)
Name
Mr. Jeremy David Cornish
Credential
LAc.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 8, 2010
Last updated
Jan 8, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist198000842ILYes

Practice location

5844 Walnut Ave
Apt 2c
Downers Grove, IL 60516-6022

Phone 315-368-7457

Mailing address

5844 Walnut Ave
Apt 2c
Downers Grove, IL 60516-6022

Phone 315-368-7457

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