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Dr. Stonewall Mccuiston JR., MD
Pediatrics Physician in Kankakee, Illinois
NPI 1720072143

Stonewall Mccuiston JR. is a Pediatrics Physician based in Kankakee, IL. Stonewall Mccuiston JR. practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for Stonewall Mccuiston JR. is 1720072143 and holds a License No. 036074737 (Illinois).

The current practice location address for Stonewall Mccuiston JR. is 375 N Wall St Ste P310, Kankakee, IL and can be reached out via phone at 815-933-0194 and via fax at 815-936-3847.

Location: 375 N Wall St Ste P310, Kankakee, IL, 60901-3484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720072143
Provider Name
Stonewall Mccuiston JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
375 N Wall St Ste P310, Kankakee, IL, 60901-3484
Phone Number
815-933-0194
Fax Number
815-936-3847
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4623239 01 IL BLUE CROSS AND BLUE SHIELD OF ILLINOIS
036074737 05 IL
institution
Provider Business Practice Location Address Details
Address
375 N Wall St Ste P310
City
Kankakee
State
Illinois
Zip
60901-3484
Phone Number
815-933-0194
Fax Number
815-936-3847
person
Provider Business Mailing Address Details
Address
375 N Wall St Ste P310
City
Kankakee
State
Illinois
Zip
60901-3484
Phone Number
815-933-0194
Fax Number
815-936-3847
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036074737 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036074737 (Illinois)
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 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.
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