Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stonewall McCuiston Jr., MD

Individual provider Internal Medicine Physician · NPI 1720072143

Dr. Stonewall McCuiston Jr., MD is an Internal Medicine in Kankakee, Illinois. Graduated from Meharry Medical College School of Medicine in 1985, 41 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
41
Trained at
Meharry Medical College School of Medicine
Licensed in
IL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

375 N Wall St Ste P310
Kankakee, IL 60901-3484
Phone: (815) 933-0194
Fax: (815) 936-3847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 S Main St, Hopkins Park, IL 60944 — (815) 944-5545

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036074737 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036074737 (IL)

Record details

NPI number1720072143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2005
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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