Organization
CORNERSTONE SERVICES INC
Active
Other names
Channahon
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
22744 S PARK PLACE DR, CHANNAHON, IL 60410-3154
(815) 741-7045
Mailing address
22744 S PARK PLACE DR, CHANNAHON, IL 60410-3154
(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
—
000040469
IDPH LICENCE NUMBER
IL
Enumeration date
02/08/2008
Last updated
06/12/2008
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