STEPHANIE CORNETTE P.C. NPI 1407082936

NPI Information

  • NPI: 1407082936
  • Provider Name: STEPHANIE CORNETTE P.C.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4055 W PETERSON AVE
    201
    CHICAGO, IL
    ZIP 60646
  • Phone: (773) 988-7144

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NPI Details

STEPHANIE CORNETTE P.C. is a mental health (including community mental health center) clinic center in Chicago, IL. STEPHANIE CORNETTE P.C. NPI is 1407082936. The provider is registered as an organization entity type.

The provider's business location address is:

4055 W PETERSON AVE
201
CHICAGO, IL
ZIP 60646-182
Phone: (773) 988-7144
Fax: (773) 423-4300

The provider's authorized official is Stephanie L Cornette .
The authorized official title is Clinical Psychologist and has the following contact phone number (773) 988-7144.

The enumeration date for this NPI number is 6/10/2009 and was last updated on 6/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)071007251ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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