Healthcare Provider Details
I. General information
NPI: 1376539726
Provider Name (Legal Business Name): CORY L CONNIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/21/2005
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11540 183RD PL # NE-NW
ORLAND PARK IL
60467-9496
US
IV. Provider business mailing address
80 W HILLCREST BLVD STE 208
SCHAUMBURG IL
60195-3111
US
V. Phone/Fax
- Phone: 630-339-5300
- Fax: 630-339-5305
- Phone: 630-339-5300
- Fax: 630-339-5305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 036-107529 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: