Cornerstone Clinic, LTD.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036084288 Issued in IL

Legal business name

CORNERSTONE CLINIC, LTD.

Practice address

1235 N Mulford Rd Ste 210
Rockford, IL 61107-3879

Phone

(815) 484-6300

Fax

(815) 395-2021

NPI assigned

Jul 2, 2006

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jodi L Holbrook, M.D.NPI 1932138807

Title

Owner

Phone

(815) 484-6300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jodi L Holbrook, M.D.

  • Obstetrics & Gynecology Physician
  • Rockford, IL
  • NPI 1932138807
  Authorized official Same address or phone
• Mary B O'Meara, FNP

  • Family Nurse Practitioner
  • Rockford, IL
  • NPI 1033675087
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1114956091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5287",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611250287",
            "telephone_number": "815-484-6300",
            "fax_number": "815-395-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N MULFORD RD STE 210",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073879",
            "telephone_number": "815-484-6300",
            "fax_number": "815-395-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-484-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036084288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Cordell
• Samantha Corey
• Clayton A. Corless, ATC
• Mark Edward Cormier, M.D.
• Ashley C Cornell
• Daniel Corredor, MD
• Nicole M Correnti, MPT
• Debra Corrigan, APN
• Tricia Corrigan, APN
• Kara Ann Cortese, RBT

• Obstetrics & Gynecology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.