Organization
CORNERSTONE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN STORTZ (CEO)
(815) 741-7042
Entity
Organization
Contact information
Practice address
800 BLACK RD, JOLIET, IL 60435-5942
(815) 741-7045
Mailing address
800 BLACK RD, JOLIET, IL 60435-5942
(815) 741-7045
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
058150001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058150001
LICENCE NUMBER
IL
Enumeration date
04/20/2016
Last updated
04/17/2020
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