DR. STONEWALL MCCUISTON JR., MD

Pediatrics

Active Individual
NPI: 1720072143

Practice Address

375 N WALL ST STE P310
Kankakee, IL 60901

Phone: (815) 933-0194

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No 036074737 (IL)
Pediatrics 208000000X Yes 036074737 (IL)

Frequently Asked Questions

NPI 1720072143 is the National Provider Identifier for DR. STONEWALL MCCUISTON JR., MD, a Pediatrics provider located in Kankakee, IL. This NPI was enumerated on August 31, 2005.
DR. STONEWALL MCCUISTON JR., MD practices at 375 N WALL ST STE P310, Kankakee, IL 60901.

Quick Facts

NPI
1720072143
Type
Individual
Enumerated
Aug 31, 2005
Last Updated
Mar 29, 2021

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