Dr David A Cornell, DO | |
15300 West Ave, Orland Park, IL 60462-4600 | |
(708) 460-5550 | |
(708) 226-2595 |
Full Name | Dr David A Cornell |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 15300 West Ave, Orland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093730376 | NPI | - | NPPES |
036070995 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36-070995 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Dr David A Cornell, DO 15300 West Ave, Orland Park, IL 60462-4600 Ph: (708) 226-2490 | Dr David A Cornell, DO 15300 West Ave, Orland Park, IL 60462-4600 Ph: (708) 460-5550 |
Dr. Linda C Evans Beckman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14741 Ravinia Ave, Orland Park, IL 60462 Phone: 708-226-8125 | |
Sonia K Kaczor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9550 W 167th St Ste 100, Orland Park, IL 60467 Phone: 708-873-4500 | |
Dr. Mary D Fugett, D.. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-460-5550 Fax: 708-226-2595 | |
James A Ferrel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-923-7874 Fax: 708-923-7876 | |
Eugenia Kyriakopoulos, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-590-5300 Fax: 708-590-5310 | |
Maureen Theresa Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 220, Orland Park, IL 60462 Phone: 708-349-0747 Fax: 708-349-4551 |