| Cornerstone Family Health | |
|
3080 Ogden Ave Ste 204 Lisle IL 60532-1694 | |
| (630) 734-0580 | |
| Not Available |
| Full Name | Cornerstone Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 3080 Ogden Ave Ste 204, Lisle, Illinois |
| Authorized Official Name and Position | Irene Thomas Thevatheril (DIRECTOR) |
| Authorized Official Contact | 6307340580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Health Po Box 534 Lisle IL 60532-0534 Ph: (630) 734-0580 | Cornerstone Family Health 3080 Ogden Ave Ste 204 Lisle IL 60532-1694 Ph: (630) 734-0580 |
| NPI Number | 1982334843 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982334843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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