Dr Courtney Racquel Cornick, PHD | |
5000 S 5th Ave, Hines Va Hospital/ Bldg 128 Rm A114, Hines, IL 60141-3030 | |
(708) 202-8387 | |
Not Available |
Full Name | Dr Courtney Racquel Cornick |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 5 Years |
Location | 5000 S 5th Ave, Hines, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164973707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 3422-57 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evolutis Llc | 5597193607 | 8 |
Evolutis Llc | 5597193607 | 8 |
Evolutis Llc | 5597193607 | 8 |
Entity Name | Evolutis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821657941 PECOS PAC ID: 5597193607 Enrollment ID: O20200323002590 |
Mailing Address | Practice Location Address |
---|---|
Dr Courtney Racquel Cornick, PHD 664 Lakewood Farms Dr, Bolingbrook, IL 60490-3164 Ph: (630) 310-9472 | Dr Courtney Racquel Cornick, PHD 5000 S 5th Ave, Hines Va Hospital/ Bldg 128 Rm A114, Hines, IL 60141-3030 Ph: (708) 202-8387 |
Dr. Scott Walter Maieritsch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5th & Roosevelt Rd, Hines, IL 60141 Phone: 708-202-8387 | |
Dr. Jamie L Mathews, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Kathleen Colangelo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Iulia Irina Gambro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Dr. Tomasz P Andrusyna, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-7846 | |
Dr. Kristin Nicole Raley, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, 116b, Hines, IL 60141 Phone: 708-202-8387 | |
Dr. Barbara Pamp, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 |