Med-Peds Associates,p.c.

NPI #1063538312 in Kankakee, Illinois

Provider Information

NPI Number
1063538312
Entity Type
Organization
Organization Name
Med-Peds Associates,p.c.
Primary Specialty
Pediatrics
Enumeration Date
Mar 21, 2007
Last Updated
Oct 20, 2010

Practice Location

Address
375 N WALL ST
Address 2
STE P520
ZIP Code
60901-3483
Phone
(815) 933-0194

Authorized Official

Name
DR. STONEWALL MCCUISTON JR., M.D.
Title
PRESIDENT
Phone
(815) 933-0194

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics

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