Organization Active NPI

Cornerstone Medical Group Inc

  • Family Medicine Physician
  • Wheaton, IL
National Provider Identifier
1194807370
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORNERSTONE MEDICAL GROUP INC
Practice address
2001 W Wiesbrook Rd
Wheaton, IL 60189-7813
Phone
(630) 614-4000
Fax
(630) 614-4048
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven L Burandt, D.O.
Title
Partner
Phone
(630) 614-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2001 W Wiesbrook Rd
Wheaton, IL 60189-7813

Mailing address

2001 W Wiesbrook Rd
Wheaton, IL 60189-7813
Phone (630) 614-4000

Other identifiers 1

IdentifierTypeStateIssuer
CH3246OtherILRR MEDICARE

National Provider Directory

National Provider Directory

Locations

Carol Stream, IL 60122

2001 N Gary Ave
Ste 110
Wheaton, IL 60187
Phone (630) 614-4100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1194807370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W WIESBROOK RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897813",
            "telephone_number": "630-614-4000",
            "fax_number": "630-614-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W WIESBROOK RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897813",
            "telephone_number": "630-614-4000",
            "fax_number": "630-614-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BURANDT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "630-614-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH3246",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.