Thomas A Cornwell, MD | |
1800 N Main St, Second Floor, Wheaton, IL 60187-3112 | |
(630) 614-4960 | |
(630) 682-3727 |
Full Name | Thomas A Cornwell |
---|---|
Gender | Male |
Speciality | Family Medicine - Geriatric Medicine |
Location | 1800 N Main St, Wheaton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386679082 | NPI | - | NPPES |
036075646 | Medicaid | IL | |
L66622 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
P00996567 | Other | IL | RR MEDICARE PTAN (INDIVIDUAL) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036075646 (Illinois) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | 036075646 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Thomas A Cornwell, MD 1800 N Main St, Second Floor, Wheaton, IL 60187-3112 Ph: (630) 614-4960 | Thomas A Cornwell, MD 1800 N Main St, Second Floor, Wheaton, IL 60187-3112 Ph: (630) 614-4960 |
Rashmi K. Chugh, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7979 Fax: 630-462-9261 | |
Uzair Misbahuddin Syed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 102, Wheaton, IL 60189 Phone: 630-682-0500 Fax: 630-682-1078 | |
Dr. Jane Elizabeth Larsen, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir, Wheaton, IL 60189 Phone: 630-510-9009 Fax: 630-510-0152 | |
Dr. Robert Paul Marseilles, M.D., J.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir, Suite 201, Wheaton, IL 60189 Phone: 630-653-2300 | |
Dr. Ashley Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 E Willow Ave Ste 200, Wheaton, IL 60187 Phone: 630-665-6200 Fax: 630-665-6373 | |
Dr. David Paul Hockett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7 Blanchard Cir, Suite 102, Wheaton, IL 60187 Phone: 630-682-0500 | |
Dr. Cathy L Munro, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S Wiesbrook Rd, Wheaton, IL 60189 Phone: 630-614-4000 Fax: 630-614-4048 |