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Organization
CORNERSTONE SERVICES INC
Active
Organization
CORNERSTONE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN T STORTZ CPA (CHIEF ADMINISTRATIVE OFFICER)
(815) 741-7042
Entity
Organization
Contact information
Practice address
777 JOYCE RD, JOLIET, IL 60436-1876
(815) 741-7042
(815) 741-6740
Mailing address
777 JOYCE RD, JOLIET, IL 60436-1876
(815) 741-7042
(815) 741-6740
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9919750
BLUE CROSS
IL
01
—
CG7573
PALMETTO GBA
—
Enumeration date
01/17/2006
Last updated
06/22/2021
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