Cornucopia Health | |
75 Executive Dr. St 305-307 Aurora IL 60504-6050 | |
(866) 375-3937 | |
(312) 488-3637 |
Full Name | Cornucopia Health |
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Speciality | Internal Medicine |
Location | 75 Executive Dr., Aurora, Illinois |
Authorized Official Name and Position | Corpia Keyes (PRESIDENT/MEDICAL DIRECTOR) |
Authorized Official Contact | 8663753937 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cornucopia Health 100 Illinois St Ste 200 Saint Charles IL 60174-1867 Ph: () - | Cornucopia Health 75 Executive Dr. St 305-307 Aurora IL 60504-6050 Ph: (866) 375-3937 |
NPI Number | 1811412729 |
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Provider Enumeration Date | 08/11/2017 |
Last Update Date | 05/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811412729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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