Organization
CORNERSTONE SERVICES, INC
Active
Parent organization
CORNERSTONE SERVICES, INC
Other names
Vintage
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE SERVICES, INC
Authorized official
BENJAMIN STORTZ (CHIEF ADMINISTRATIVE OFFICER)
(815) 741-7045
Entity
Organization
Contact information
Practice address
709 CAMBRIDGE LN, SHOREWOOD, IL 60404-0519
(815) 741-7045
Mailing address
777 JOYCE RD, JOLIET, IL 60436-1876
(815) 741-7045
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000040477
IDPH LICENSE NUMBER
IL
Enumeration date
02/11/2008
Last updated
06/12/2008
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