Stonewall Mccuiston in Kankakee - Pediatrics
Stonewall Mccuiston - NPI 1720072143
Stonewall Mccuiston is a Pediatrics in Kankakee, Illinois. Stonewall Mccuiston practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stonewall Mccuiston is 1720072143. The last update date is 2021-03-29.
Stonewall Mccuiston's current location address is 375 N Wall St Ste P310, Kankakee, Illinois. You can contact this provider via phone number 8159330194 and fax number 8159363847. The mailing address for Stonewall Mccuiston is 375 N Wall St Ste P310, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stonewall Mccuiston |
|---|---|
| Address | 375 N Wall St Ste P310, Kankakee, Illinois |
| Phone Number | 8159330194 |
| Fax Number | 8159363847 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720072143 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2021-03-29 |
Provider Mailing Address Detail
| Address | 375 N Wall St Ste P310 |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609013484 |
| Phone Number | 8159330194 |
| Fax Number | 8159363847 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36074737 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4623239 | IL | BLUE CROSS AND BLUE SHIELD OF | |
| 36074737 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stonewall Mccuiston by the Centers for Medicare & Medicaid Services?
The Stonewall Mccuiston has been issued the NPI (National Provider Identifier) 1720072143 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stonewall Mccuiston?
The Stonewall Mccuiston is physically situated at 375 N Wall St Ste P310, in the city of Kankakee, state of IL, with the postal code 609013484.
What is Stonewall Mccuiston's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stonewall Mccuiston's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720072143 to Stonewall Mccuiston?
The Stonewall Mccuiston received its 1720072143 assignment from the Centers for Medicare & Medicaid Services on 2005-08-31.
As of what date was the information pertaining to Stonewall Mccuiston, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stonewall Mccuiston, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-29.