| Kmg Cornerstone Services Inc | |
|
3380 Lacrosse Ln Ste 101 Naperville IL 60564-8528 | |
| (847) 636-8226 | |
| Not Available |
| Full Name | Kmg Cornerstone Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3380 Lacrosse Ln Ste 101, Naperville, Illinois |
| Authorized Official Name and Position | Kathleen Goldman (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8476368226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmg Cornerstone Services Inc 3380 Lacrosse Ln Ste 101 Naperville IL 60564-8528 Ph: (847) 636-8226 | Kmg Cornerstone Services Inc 3380 Lacrosse Ln Ste 101 Naperville IL 60564-8528 Ph: (847) 636-8226 |
| NPI Number | 1588149728 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 04/04/2019 |
| Medicare PECOS PAC ID | 9032451281 |
|---|---|
| Medicare Enrollment ID | O20190508002152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588149728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathleen Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023593464 PECOS PAC ID: 0941542195 Enrollment ID: I20190508002247 |
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