Healthcare Provider Details

I. General information

NPI: 1477787950
Provider Name (Legal Business Name): CORY L DEHNEE ANP-BC, GNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORY L SILVERMAN ANP-BC, GNP-BC

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W CERMAK RD STE 310
CHICAGO IL
60616-2268
US

IV. Provider business mailing address

600 W CERMAK RD STE 3D
CHICAGO IL
60616-2268
US

V. Phone/Fax

Practice location:
  • Phone: 312-427-6000
  • Fax:
Mailing address:
  • Phone: 312-427-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209-007510
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209-007510
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: