Individual
DALE ROBERT KORINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
319 E MADISON ST, SPRINGFIELD, IL 62701-1035
(217) 545-7625
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
(217) 545-4110
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.010786
IL
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
071.010786
IL
103TC0700X
Clinical Psychologist
071.010786
IL
Other
Enumeration date
04/20/2022
Last updated
09/15/2022
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