Kaitlyn R Cornell (NPI# 1992290449, PAC ID# 1850642778) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1992290449 |
| PAC ID by PECOS | 1850642778 |
| Professional Enrollment ID | I20180915000036 |
| Full Name | Kaitlyn R Cornell |
| Address |
206 N Randolph St Suite 508 Champaign IL 61820-3949 |
| Phone Number | 2173770299 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 206 N Randolph St, Suite 508, Champaign, IL 61820-3949 | 2173770299 |
| Street Address |
206 N RANDOLPH ST SUITE 508 |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61820-3949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Kohler | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Jiyai Tao | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Marisol Chirinos Tito | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Carrie Elizabeth Keenan | Physician Assistant | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Kristen Erickson | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sonja E Hansen | Family Medicine | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Melonie M Darnall | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Shellane Tangen | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Constance S Thomas | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Sandra Foltz | Nurse Practitioner | Promise Healthcare Nfp | 819 Bloomington Rd, Champaign, IL 61820-2101 |
| Find all physicians in zip 61820 | |||
| City | CHAMPAIGN |
| Zip Code | 61820 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CHAMPAIGN + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.