| Cornerstone Medical Group Inc | |
|
2001 W Wiesbrook Rd Wheaton IL 60189-7813 | |
| (630) 614-4000 | |
| (630) 614-4048 |
| Full Name | Cornerstone Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2001 W Wiesbrook Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Steven L Burandt (PARTNER) |
| Authorized Official Contact | 6306144000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical Group Inc 2001 W Wiesbrook Rd Wheaton IL 60189-7813 Ph: (630) 614-4000 | Cornerstone Medical Group Inc 2001 W Wiesbrook Rd Wheaton IL 60189-7813 Ph: (630) 614-4000 |
| NPI Number | 1194807370 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 07/29/2015 |
| Medicare PECOS PAC ID | 8224082086 |
|---|---|
| Medicare Enrollment ID | O20050304000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194807370 | NPI | - | NPPES |
| CH3246 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher Santi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124006697 PECOS PAC ID: 0446231906 Enrollment ID: I20040528001159 |
| Provider Name | Eveline F Tan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295731370 PECOS PAC ID: 8820050222 Enrollment ID: I20041028000459 |
| Provider Name | Lori Lynn Laycock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316045206 PECOS PAC ID: 9133150261 Enrollment ID: I20050829000157 |
| Provider Name | Jason M Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619082856 PECOS PAC ID: 2466483474 Enrollment ID: I20050829000867 |
| Provider Name | Thomas E Eng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639277551 PECOS PAC ID: 0143222935 Enrollment ID: I20070207000493 |
| Provider Name | Ronald G Severino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932214186 PECOS PAC ID: 7214064146 Enrollment ID: I20100423000415 |
| Provider Name | Beth E Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407969645 PECOS PAC ID: 3375667439 Enrollment ID: I20100826000989 |
| Provider Name | Cathy L Munro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144335373 PECOS PAC ID: 4880718840 Enrollment ID: I20100826001046 |
| Provider Name | Dorothy Nugent Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497768618 PECOS PAC ID: 8921122912 Enrollment ID: I20100827000127 |
| Provider Name | Steven L Burandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942315106 PECOS PAC ID: 4385698141 Enrollment ID: I20100827000164 |
| Provider Name | Michelle D Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255567574 PECOS PAC ID: 1557506292 Enrollment ID: I20130328000319 |
| Provider Name | Ashley T Muhr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891016499 PECOS PAC ID: 1355584384 Enrollment ID: I20130823000553 |
| Provider Name | Amber Lynn Pachon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881830776 PECOS PAC ID: 8921288556 Enrollment ID: I20141212001589 |
| Provider Name | Michele Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124382403 PECOS PAC ID: 3173764560 Enrollment ID: I20161004001275 |
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