CORNERSTONE CLINIC LTD. NPI 1114956091

NPI Information

  • NPI: 1114956091
  • Provider Name: CORNERSTONE CLINIC, LTD.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1235 N MULFORD RD STE 210
    ROCKFORD, IL
    ZIP 61107
  • Phone: (815) 484-6300

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NPI Details

CORNERSTONE CLINIC, LTD. is an obstetrics gynecology in Rockford, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CORNERSTONE CLINIC, LTD. NPI is 1114956091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1235 N MULFORD RD STE 210
ROCKFORD, IL
ZIP 61107-879
Phone: (815) 484-6300
Fax: (815) 395-2021

The provider's authorized official is Jodi L Holbrook .
The authorized official title is Owner and has the following contact phone number (815) 484-6300.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 10/27/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology036084288ILLINOISYes

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: 11/21/2025

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