Patrick Dene Cornet

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

243 S Springside Dr
Round Lake Beach, IL 60073-8139

Phone

(630) 841-4059

NPI assigned

Apr 15, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1851681431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 S SPRINGSIDE DR",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600738139",
            "telephone_number": "630-841-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 S SPRINGSIDE DR",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600738139",
            "telephone_number": "630-841-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNET",
        "first_name": "PATRICK",
        "middle_name": "DENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Castrejon, PHARMD
• Chiro One Wellness Center of Round Lake Beach LLC
• Michelle Chisenhall, RDH
• Christina M Circo, RPH
• Consumate Dental P.C
• County of Lake (Lake County Health Department and Community Health Center)
• Michelle Crutcher, RDH
• Dac Dental PC (Rollins Family Dental Center)
• Daniel & Max, LLC
• Henry Oa Darko

• Student in an Organized Health Care Education/Training Program in Round Lake Beach, IL
• Providers in Round Lake Beach, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.