Active NPI
Cornerstone Clinical & Training Services, Inc.
- Counselor
- Chicago, IL
National Provider Identifier
1689778367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- CORNERSTONE CLINICAL & TRAINING SERVICES, INC.
- Practice address
- 10540 S Western Ave
Suite 501
Chicago, IL 60643-2536 - Phone
- (708) 291-0079
- Fax
- (708) 857-9417
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Omotayo Oladejo, MHS
- Title
- President
- Phone
- (708) 291-0079
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | Primary |
Addresses
Primary practice location
10540 S Western Ave
Suite 501
Chicago, IL 60643-2536
Mailing address
2853 W 98TH PL
Evergreen Park, IL 60805-2614
Phone (708) 291-0079
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001634317 | Other | IL | BLUECROSSBLUESHIELD |
| 515000 | Other | IL | PSYCHEALTH, LTD |
| 234943 | Other | IL | COMPSYCH |
National Provider Directory
National Provider DirectoryLocations
10540 S Western Ave
Ste 501
Chicago, IL 60643
Phone (708) 291-0079
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1952458895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689778367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2853 W 98TH PL",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052614",
"telephone_number": "708-291-0079",
"fax_number": "708-857-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10540 S WESTERN AVE",
"address_2": "SUITE 501",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432536",
"telephone_number": "708-291-0079",
"fax_number": "708-857-9417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE CLINICAL & TRAINING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OLADEJO",
"authorized_official_first_name": "OMOTAYO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-291-0079",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MHS"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "0001634317",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHEALTH, LTD",
"identifier": "515000",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "234943",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Cornell Interventions, Inc.
- Cornell Interventions, LLC
- Cecelia S Cornell, LCSW
- Cornerstone Caregiving East LLC
- Cornerstone Caregiving East LLC
- Cornerstone Community Outreach
- Cornerstone Counseling Center
- Cornerstone Counseling Center of Chicago
- Cornerstone Counseling Center of Chicago
- Cornerstone Counseling Center of Chicago
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.