Active NPI
Cory Lynn Straub, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 132359
- Practice address
- 612 35TH Ave Ste 1
Moline, IL 61265 - Phone
- (309) 788-0014
- Fax
- (309) 623-4638
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 132359 | IL | Primary |
Addresses
Primary practice location
612 35TH Ave Ste 1
Moline, IL 61265
Mailing address
3912 16TH St
Moline, IL 61265-1275
Phone (309) 623-7030
Other practice location 1
1518 Mulberry Ave Ste 204
Muscatine, IA 52761-3433
Phone (309) 623-7030
Other names 1
- Cory Lynn Wilczynski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Rush Medical College of Rush University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 262-4115
3904 16TH St
Moline, IL 61265-1275
3912 16TH St
Moline, IL 61265-1275
Phone (309) 581-7600
3924 16TH St
Moline, IL 61265-1275
Phone (309) 779-5260
600 N College Ave
Suite 110
Geneseo, IL 61254-1092
Phone (563) 264-9300
600 N College Ave
Suite 120
Geneseo, IL 61254-1095
Phone (309) 944-5342
600 N College Ave
Suite 130
Geneseo, IL 61254-1007
Phone (309) 623-7030
Hospital & facility affiliations
- Hammond Henry Hospital
- Trinity Rock Island
- Trinity Muscatine
- Trinity - Bettendorf
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132359 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Plains of Smith Co., Inc. | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients | |
| Norton County Hospital | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| County of Logan | Past | Accepting new patients | |
| Kiowa County Memorial Hospital | Past | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients | |
| Advanced Radiology, S.C. | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 140
Bettendorf, IA 52722
Phone (563) 241-4000
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
1518 Mulberry Ave
Ste 302
Muscatine, IA 52761
Phone (309) 623-7030
1518 Mulberry Ave
Ste 203
Muscatine, IA 52761
Phone (563) 262-4113
1518 Mulberry Ave
Ste 301
Muscatine, IA 52761
Phone (563) 262-4113
1518 Mulberry Ave
Ste 101
Muscatine, IA 52761
Phone (563) 262-4110
1518 Mulberry Ave
Ste 204
Muscatine, IA 52761
Phone (309) 623-7030
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
600 N College Ave
Ste 110
Geneseo, IL 61254
Phone (309) 944-1595
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
3924 16th St
Moline, IL 61265
Phone (309) 779-5260
3912 16th St
Moline, IL 61265
Phone (309) 581-7600
2560 24th St
Ste 102
Rock Island, IL 61201
Phone (309) 779-3670
102 E Holme St
Norton, KS 67654
Phone (785) 628-3231
921 E Highway 36
Smith Center, KS 66967
Phone (785) 282-6834
Interoperability endpoints
- cory.straub.1@13372.direct.athenahealth.com
- https://api.platform.athenahealth.com/11985/brand/1/csg/1/fhir/r4
- cwilczynski268477@direct.unitypoint.org
- cory.straub.1@17074.direct.athenahealth.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL
-
- Family Medicine Physician
- Smith Center, KS
- NPI 1720025620
-
- Internal Medicine Physician
- Muscatine, IA
- NPI 1629122742
-
- Critical Access Hospital
- Norton, KS
- NPI 1801892740
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Rural Health Clinic/Center
- Muscatine, IA
- NPI 1447802400
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
-
- Diagnostic Radiology Physician
- Rock Island, IL
- NPI 1790773539
-
- Family Medicine Physician
- Oakley, KS
- NPI 1285629535
-
- Critical Access Hospital
- Greensburg, KS
- NPI 1942309166
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1154634996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 16TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651275",
"telephone_number": "309-623-7030",
"fax_number": "309-623-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 35TH AVE STE 1",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-788-0014",
"fax_number": "309-623-4638"
}
],
"practiceLocations": [
{
"address_1": "1518 Mulberry Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Muscatine",
"state": "IA",
"postal_code": "527613433",
"country_code": "US",
"telephone_number": "309-623-7030",
"fax_number": "309-623-7039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRAUB",
"first_name": "CORY",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "132359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORY",
"last_name": "WILCZYNSKI",
"middle_name": "LYNN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.