Cornerstone Family Health S.C.

LBN: Cornerstone Family Health S.C.
Cornerstone Family Health S.C. is an health care organization with primary practice located at 3080 Ogden Ave Ste 204 , Lisle IL 60532-1694. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Cornerstone Family Health S.C. can be contacted via phone (630) 734-0580, or through Thomas-Thevatheril, Irene via phone (630) 734-0580.

Contact Information

Primary practice address
3080 Ogden Ave Ste 204 Lisle IL 60532-1694
Phone: (630) 734-0580
Fax: (630) 734-0581
Website:
Map and Directions
Authorized official contact:
Name: Thomas-Thevatheril, Irene Doctor of Medicine (MD)
Phone: (630) 734-0580

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 036105417 Illinois

Profile Details

NPI number 1912066788
LBN Legal business name Cornerstone Family Health S.C.
DBA Doing business as
Authorized official Thomas-Thevatheril, Irene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2006
Last updated Mar 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912066788 NPPES
Illinois MEDICAID 036105417

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