| Organization Name: | CORNERSTONE SERVICES, INC |
| NPI Number: | 1053746388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN STORTZ (CEO) |
| Mailing Address: | 1475 Harvard Dr # 3 Kankakee |
| State: | IL US |
| Postal Code: | 609018451 |
| Phone Number: | 8158238412 |
| Fax Number: | 8158238431 |
| NPI Enumeration Date: | 09/05/2013 |
| NPI Last Update Date: | 09/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |