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THE CORNERSTONE RECOVERING COMMUNITY NPI 1083152359


NPI Information

NPI: 1083152359
Provider Name: THE CORNERSTONE RECOVERING COMMUNITY
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
103 W 112TH ST
CHICAGO, IL
ZIP 60628
Phone: (773) 909-2424
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THE CORNERSTONE RECOVERING COMMUNITY is a substance abuse rehabilitation facility in Chicago, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. THE CORNERSTONE RECOVERING COMMUNITY NPI is 1083152359. The provider is registered as an organization entity type.

The provider's business location address is:

103 W 112TH ST
CHICAGO, IL
ZIP 60628-803
Phone: (773) 909-2424

The provider's authorized official is Miles Cole .
The authorized official title is Representative and has the following contact phone number (773) 909-2424.

The enumeration date for this NPI number is 2/7/2017 and was last updated on 7/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityC/A-8672-0001-AILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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