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General NPI Number Information
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NPI Number | 1205816345
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Entity Type | Organization
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Legal Business Name | CORNERSTONE SERVICES INC
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 777 JOYCE RD
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City | JOLIET
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State | IL
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Zip | 60436-1876
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Country | US
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Telephone | 815-741-7042
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Fax | 815-741-6740
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Provider Business Mailing Address
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Address Line | 777 JOYCE RD
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City | JOLIET
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State | IL
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Zip | 60436-1876
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Country | US
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Telephone | 815-741-7042
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Fax | 815-741-6740
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MR. BENJAMIN T STORTZ
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Credential | CPA
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Telephone | 815-741-7042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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