| Cornerstone Services Inc | |
|
777 Joyce Rd Joliet IL 60436-1876 | |
| (815) 741-7042 | |
| (815) 741-6740 |
| Full Name | Cornerstone Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 777 Joyce Rd, Joliet, Illinois |
| Authorized Official Name and Position | Benjamin T Stortz (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 8157417042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Services Inc 777 Joyce Rd Joliet IL 60436-1876 Ph: (815) 741-7042 | Cornerstone Services Inc 777 Joyce Rd Joliet IL 60436-1876 Ph: (815) 741-7042 |
| NPI Number | 1205816345 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 06/22/2021 |
| Certification Date | 06/22/2021 |
| Medicare PECOS PAC ID | 9739135294 |
|---|---|
| Medicare Enrollment ID | O20050328000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205816345 | NPI | - | NPPES |
| CG7573 | Other | PALMETTO GBA | |
| 9919750 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cosme Lozano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336160597 PECOS PAC ID: 0143127977 Enrollment ID: I20031218000386 |
| Provider Name | Nina Pope-osaghae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669566782 PECOS PAC ID: 8022082593 Enrollment ID: I20040820000803 |
| Provider Name | Amanda A Twait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417197690 PECOS PAC ID: 5799831921 Enrollment ID: I20090914000228 |
| Provider Name | Lynn Renee Lochner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801238282 PECOS PAC ID: 1557344702 Enrollment ID: I20131106001546 |
| Provider Name | Theresa M Donley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013443993 PECOS PAC ID: 0749558385 Enrollment ID: I20170622001470 |
| Provider Name | Chequaleis Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871007930 PECOS PAC ID: 3173919719 Enrollment ID: I20220406002265 |
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