Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Courtney Racquel Cornick, PHD

Individual provider Clinical Psychologist · NPI 1164973707

Dr. Courtney Racquel Cornick, PHD is a Clinical Psychologist in Hines, Illinois. Qualified in 2014, 12 years ago. Practices with Evolutis LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5000 S 5th Ave Hines VA Hospital/ Bldg 128 Rm A114
Hines, IL 60141-3030
Phone: (708) 202-8387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3422-57 (WI)

Record details

NPI number1164973707
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Evolutis Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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