Healthcare Provider Details

I. General information

NPI: 1487568283
Provider Name (Legal Business Name): ALEKSANDRA CORMIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 E WOODFIELD RD STE 401
SCHAUMBURG IL
60173-5126
US

IV. Provider business mailing address

3411 N OCONTO AVE FRNT
CHICAGO IL
60634-3576
US

V. Phone/Fax

Practice location:
  • Phone: 773-510-9507
  • Fax:
Mailing address:
  • Phone: 773-510-9507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209036586
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: