Provider Demographics
NPI:1114093473
Name:KOERNER-FRANK, AIMEE (PSYD, LCPC)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:
Last Name:KOERNER-FRANK
Suffix:
Gender:F
Credentials:PSYD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ON319 LEONARD STREET
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190
Mailing Address - Country:US
Mailing Address - Phone:773-914-2175
Mailing Address - Fax:630-784-1627
Practice Address - Street 1:ON319 LEONARD STREET
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190
Practice Address - Country:US
Practice Address - Phone:773-914-2175
Practice Address - Fax:630-784-1627
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2008-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1800006197101YP2500X, 222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist