Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STONEWALL MCCUISTON JR., MD
ActiveDR. STONEWALL MCCUISTON JR., MD is a Pediatrics healthcare provider located in KANKAKEE, Illinois. NPI 1720072143 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · KANKAKEE, IL
Registration Details
- NPI Number
- 1720072143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2005 (20.807217796483 yrs)
- Last Updated
- Mar 29, 2021
- Licenses
-
036074737 (IL)036074737 (IL)
Practice Information
- Address
-
375 N WALL ST STE P310KANKAKEE, IL, 609013484Browse IL providers · Browse ZIP 60901
- Phone
- 8159330194
- Fax
- 8159363847
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in KANKAKEE, IL
| Name | Credential | NPI |
|---|---|---|
| SAFWAT G. ISKANDER | M.D. | 1194781112 |
| DR. SAADIA A ZAHEER | MD | 1629178264 |
| KATRINA WIEDENFELD | APRN, CPNP-PC | 1346128915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.