1225232044 NPI number — JULIE EBOHON EHIZEMWOGIE LEVEL 2 BEHAVIOR THE

Table of content: JULIE EBOHON EHIZEMWOGIE LEVEL 2 BEHAVIOR THE (NPI 1225232044)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225232044 NPI number — JULIE EBOHON EHIZEMWOGIE LEVEL 2 BEHAVIOR THE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EHIZEMWOGIE
Provider First Name:
JULIE
Provider Middle Name:
EBOHON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LEVEL 2 BEHAVIOR THE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
UIWA
Provider Other First Name:
JULIE
Provider Other Middle Name:
EBOHON
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
OCCUPATIONAL THERAPI
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1225232044
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CORNERSTONE SERVICES INC
Provider Second Line Business Mailing Address:
777 JOYCE ROAD
Provider Business Mailing Address City Name:
JOLIET
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60436
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
773-574-4730
Provider Business Mailing Address Fax Number:
815-744-6916

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CORNERSTONE SERVICES INC
Provider Second Line Business Practice Location Address:
777 JOYCE ROAD
Provider Business Practice Location Address City Name:
JOLIET
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-574-4730
Provider Business Practice Location Address Fax Number:
815-744-6916
Provider Enumeration Date:
06/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  006210 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106E00000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 006210 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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