| Doctor Name: | NATHAN CORNISH |
| NPI Number: | 1619373305 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., CCC-SLP |
| License Number: | SLP000607 |
| Business Practice Address: | 8001 Lincoln Ave Suite 800 Skokie, IL - 600773695 |
| Business Phone Number: | 8477450085 |
| Business Fax Number: | |
| Mailing Address: | 8001 Lincoln Ave, Suite 800 SKOKIE |
| State: | IL |
| Postal Code: | 600773695 |
| Phone Number: | 8477450085 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2014 |
| NPI Last Update Date: | 11/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP000607 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |