CORNERSTONE CLINIC, LTD. – NPI #1114956091
Obstetrics & Gynecology

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. is a provider located in ROCKFORD, IL. NPPES has assigned the NPI number 1114956091 to CORNERSTONE CLINIC, LTD. on July 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 4 years ago on Oct 27, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORNERSTONE CLINIC, LTD. below.

NPI Profile for
CORNERSTONE CLINIC, LTD.

NPI Number
1114956091
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORNERSTONE CLINIC, LTD.
Primary location
1235 N MULFORD RD STE 210
ROCKFORD, IL 61107-3879
Phone: (815) 484-6300 Fax: (815) 395-2021
Mailing address
PO BOX 5287
ROCKFORD, IL 61125-0287
Phone: (815) 484-6300 Fax: (815) 395-2021
Organization Subpart
No
Authorized Official
JODI HOLBROOK
OWNER
Phone: (815) 484-6300
Updated
Certification Date
Oct 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
IL 036084288

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.