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Contact Information

THOMAS A CORNWELL, MD
1800 N MAIN ST
SECOND FLOOR
WHEATON, IL60187-3112
 Phone: 630-614-4960
 Fax: 630-682-3727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THOMAS A CORNWELL · (Male)

NPI # 1386679082
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 03/06/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036075646
  • IL Medicaid 036075646
  • IL Other L66622 MEDICARE PTAN (INDIVIDUAL)
  • IL Other P00996567 RR MEDICARE PTAN (INDIVIDUAL)
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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