STEPHANIE CORNETTE P.C.
Ambulatory Health at Peterson Ave, Chicago, IL

License number
Illinois 071007251
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. STEPHANIE L CORNETTE PSY.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (773) 988-7144
Address
Address
4055 W Peterson Ave, Chicago, IL 60646
National Provider ID: 1407082936
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Stephanie Cornette PC

4055 W Peterson Ave, Chicago, IL 60646

Industry:
Health Practitioner's Office
Psychologist:
Stephanie L. Cornette (Psychologist)

STEPHANIE CORNETTE, PC

Chicago, IL 60647

Registration:
Jun 28, 2007
State ID:
65655454
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Michael J Newman,7161 N Cicero Ave STE 200, Lincolnwood, IL 60712 (Physical)

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