Individual
DR. GIOVANNA VITULLO-COURNOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NORTH SHORE DR STE 120, LAKE BLUFF, IL 60044-2225
(847) 615-1698
Mailing address
900 NORTH SHORE DR STE 120, LAKE BLUFF, IL 60044-2225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071009002
IL
Other
Enumeration date
12/12/2014
Last updated
01/22/2015
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