Provider Demographics
NPI:1528483278
Name:CORNERSTONE HEALTH COMPANY
Entity type:Organization
Organization Name:CORNERSTONE HEALTH COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-868-9609
Mailing Address - Street 1:1030 DAVIS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3702
Mailing Address - Country:US
Mailing Address - Phone:847-868-9609
Mailing Address - Fax:847-440-5476
Practice Address - Street 1:1030 DAVIS ST STE 100
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3702
Practice Address - Country:US
Practice Address - Phone:847-868-9609
Practice Address - Fax:847-440-5476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty