Organization
CORNERSTONE FAMILY HEALTH
Active
Other names
Cornerstone Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE THOMAS THEVATHERIL MD (DIRECTOR)
(630) 734-0580
Entity
Organization
Contact information
Practice address
3080 OGDEN AVE STE 204, LISLE, IL 60532-1694
(630) 734-0580
Mailing address
PO BOX 534, LISLE, IL 60532-0534
(630) 734-0580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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