Individual
CORY KISHI HIRO MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(877) 632-6637
(708) 409-5179
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01099134A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
036.178366
IL
207X00000X
Orthopaedic Surgery Physician
A179921
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01099134A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036.178366
IL
Other
Enumeration date
03/20/2020
Last updated
05/08/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us