| Cornerstone Services Inc | |
|
187 S Schuyler Ave Ste 450 Kankakee IL 60901-3835 | |
| (815) 304-4777 | |
| (815) 304-4757 |
| Full Name | Cornerstone Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 187 S Schuyler Ave Ste 450, Kankakee, Illinois |
| Authorized Official Name and Position | Benjamin Stortz (CEO) |
| Authorized Official Contact | 8157417042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Services Inc 187 S Schuyler Ave Ste 450 Kankakee IL 60901-3835 Ph: (815) 304-4777 | Cornerstone Services Inc 187 S Schuyler Ave Ste 450 Kankakee IL 60901-3835 Ph: (815) 304-4777 |
| NPI Number | 1831719913 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831719913 | NPI | - | NPPES |
| 04039 | Other | IL | DEPARTMENT OF HUMAN SERVICES ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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