Organization
CORNERSTONE CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI L HOLBROOK M.D. (OWNER)
(815) 484-6300
Entity
Organization
Contact information
Practice address
1235 N MULFORD RD STE 210, ROCKFORD, IL 61107-3879
(815) 484-6300
(815) 395-2021
Mailing address
PO BOX 5287, ROCKFORD, IL 61125-0287
(815) 484-6300
(815) 395-2021
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036084288
IL
Other
Enumeration date
07/02/2006
Last updated
10/27/2022
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