Individual provider · Type 1 NPI

Laura Jean Corral, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1922179357 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1447

Mailing address

1509 Club Dr
Glendale Heights, IL 60139-3679

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085003798 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1922179357

Laura Jean Corral, PA-C's National Provider Identifier is 1922179357, issued on Nov 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Feb 28, 2017.