NPIMap

Organization Active NPI

Cornerstone Family Healthcare

  • Family Medicine Physician
  • Lisle, IL
National Provider Identifier
1982334843
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORNERSTONE FAMILY HEALTHCARE
Practice address
3080 Ogden Ave Ste 204
Lisle, IL 60532-1694
Phone
(630) 734-0580
NPI assigned
Jun 14, 2022
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Irene Thomas-ThevatherilNPI 1336190529
Title
Director
Phone
(630) 734-0580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3080 Ogden Ave Ste 204
Lisle, IL 60532-1694

Mailing address

PO Box 534
Lisle, IL 60532-0534
Phone (630) 734-0580

National Provider Directory

National Provider Directory

Locations

3080 Ogden Ave
Ste 204
Lisle, IL 60532
Phone (630) 734-0580

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1982334843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320534",
            "telephone_number": "630-734-0580",
            "fax_number": "630-734-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 OGDEN AVE STE 204",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321694",
            "telephone_number": "630-734-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS-THEVATHERIL",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-734-0580"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.