Individual
RACHEL ANNE KORNACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2215 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(224) 268-0026
Mailing address
2215 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(224) 268-0026
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071010634
IL
103TC0700X
Clinical Psychologist
Primary
071010634
IL
Other
Enumeration date
11/11/2021
Last updated
06/04/2024
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