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NPI Code Detail

MEDICARE: MRS. ALLISON CLAIRE CORRO P.A.

MEDICARE: MRS. ALLISON CLAIRE CORRO P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant085-003775IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1085003775OTHERILSTATE LICENSE
2209000195OTHERILSTATE LICENSE

General Provider Information

NPI Number : 1093026684
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLISON CLAIRE CORRO P.A.
Provider Business Mailing Address
First Line : 880 W CENTRAL RD STE 6200
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2378
Country : US
Telephone Number : 847-618-0730
Fax Number : 847-618-0799
Provider Business Practice Location Address
First Line : 880 W CENTRAL RD STE 6200
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2378
Country : US
Telephone Number : 847-618-0730
Fax Number : 847-618-0799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2010
Last Update Date : 04/28/2021

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Directions to “ MRS. ALLISON CLAIRE CORRO P.A.” Practice Location

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