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Riley Cornacchini, R-DMT
NPI 1215802509 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1802 W Berteau Ave
Chicago, IL 60613 - Phone
- (708) 202-9121
- Organisation at this address
- Fsjn Enterprises, Inc
Upstream Medicine LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225600000X
225600000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois