Organization
STEPHANIE CORNETTE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE L CORNETTE PSY.D. (CLINICAL PSYCHOLOGIST)
(773) 988-7144
Entity
Organization
Contact information
Practice address
4055 W PETERSON AVE, 201, CHICAGO, IL 60646-6182
(773) 988-7144
(773) 423-4300
Mailing address
4055 W PETERSON AVE, 201, CHICAGO, IL 60646-6182
(773) 988-7144
(773) 423-4300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
071007251
IL
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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