Dr. Stonewall Mccuiston Jr.
MD | Pediatrics | Male
Dr. Stonewall Mccuiston Jr., MD is a Kankakee, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Stonewall Mccuiston Jr. is
375 N Wall St Ste P310, Kankakee, Illinois - 60901-3484. He can be contacted on phone at
815-933-0194 and fax number 815-936-3847.
Dr. Stonewall Mccuiston Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Stonewall Mccuiston Jr. is
1720072143 which was assigned by NPPES on 31 Aug, 2005 and it was last updated on 29 Mar, 2021.
Dr. Stonewall Mccuiston Jr. license number is
036074737 for Pediatrics (208000000X) in Illinois.
Dr. Stonewall Mccuiston Jr. is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Stonewall Mccuiston Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Stonewall Mccuiston Jr. |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Stonewall Mccuiston Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 375 N Wall St Ste P310
Kankakee, IL, 60901-3484
United States |
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| Phone Number : | 815-933-0194 |
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| Fax Number : | 815-936-3847 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720072143 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2005 |
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| Last Updated On : | 29 Mar, 2021 |
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Medicare Participation:
Dr. Stonewall Mccuiston Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9638150014 |
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| Medicare Enrollment ID : | I20040609001388 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Meharry Medical College School Of Medicine |
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| Graduation Year : | 1985 |
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| Accepts Medicare? | Yes. Dr. Stonewall Mccuiston Jr. accepts medicare insurance. |
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Group Practice Association:
Dr. Stonewall Mccuiston Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Stonewall Mccuiston Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Riverside Health System | 3274434717 | 152 | 375 N Wall St
P520
Kankakee, IL - 609013493
Ph: 8159330194 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stonewall Mccuiston Jr. are as mentioned. Primary taxonomy code for Dr. Stonewall Mccuiston Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 036074737 | IL |
| 208000000X | Pediatrics | Yes | 036074737 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Stonewall Mccuiston Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4623239 | Other | IL | BLUE CROSS AND BLUE SHIELD OF ILLINOIS |
| 036074737 | MEDICAID | IL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3400 S MAIN ST,
HOPKINS PARK, IL, 60944
United States | HOPKINS PARK, IL | 815-944-5545 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | smccuiston7453@Direct.riversidehealthcare.net
| No affiliation | DIRECT
Direct
|
| 375 N WALL ST STE P310,
KANKAKEE, IL, 60901-3484
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 375 N Wall St Ste P310
Kankakee, IL, 60901-3484
United States |
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| Phone Number : | 815-933-0194 |
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| Fax Number : | 815-936-3847 |
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Business Location:
Patients can refer following map for directions to
Dr. Stonewall Mccuiston Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.