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Organization

CORNERSTONE CLINICAL & TRAINING SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OMOTAYO OLADEJO MHS (PRESIDENT)
(708) 291-0079
Entity
Organization

Contact information

Practice address
10540 S WESTERN AVE, SUITE 501, CHICAGO, IL 60643-2536
(708) 291-0079
(708) 857-9417
Mailing address
2853 W 98TH PL, EVERGREEN PARK, IL 60805-2614
(708) 291-0079
(708) 857-9417

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001634317
BLUECROSSBLUESHIELD
IL
01
234943
COMPSYCH
IL
01
515000
PSYCHEALTH, LTD
IL
Enumeration date
09/12/2006
Last updated
08/22/2020
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