Individual
JESSICA LEE MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LMFT
Contact information
Practice address
1333 BURR RIDGE PKWY, 200, BURR RIDGE, IL 60527
(708) 429-0353
Mailing address
30 E PLYMOUTH ST, VILLA PARK, IL 60181-1736
(773) 571-9476
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000978
IL
Other
Enumeration date
04/21/2011
Last updated
06/13/2018
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