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CORNERSTONE FAMILY MEDICAL CENTER
NPI 1619243987
Clinic/Center - Primary Care in Mt Zion, IL

Active since March 30, 2012
440 SUNSET CT STE C, MT ZION, IL 62549(217) 864-1236(217) 864-1470 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Cornerstone Family Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE FAMILY MEDICAL CENTER (NPI 1619243987) is a healthcare organization registered as a primary care in Mt Zion, Illinois and active in the NPI registry since March 2012. The organization maintains a secondary practice location in Decatur and lists David Carl Gregory, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619243987
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDECATUR FAMILY MEDICAL GROUP INC
Location Address440 SUNSET CT STE CMt Zion, IL 62549-1556
Mailing Address3708 Sims DrDecatur, IL 62526-9200 · (217) 422-3702
Phone(217) 864-1236
Fax(217) 864-1470
Organization SubpartNo
Authorized OfficialDavid Carl GregoryCeo · (217) 422-3702
Enumeration DateMarch 30, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619243987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036103155
440 SUNSET CT STE C, Mt Zion, IL 62549
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Other Names 1

Doing Business AsCornerstone Family Medical Center

Secondary Practice Location 1

Location 1415 E Ash Ave, Suite ADecatur, IL 62526-6140 · Phone (217) 791-5760 · Fax (217) 791-6856

Other Identifiers 1

Other1871599522Provider's Npi

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Decatur Family Medical Group Inc's NPI number?

The NPI number for Decatur Family Medical Group Inc is 1619243987. It was assigned to this organization in the NPPES registry on March 30, 2012. The provider is doing business as Cornerstone Family Medical Center.

Where is Decatur Family Medical Group Inc located?

Decatur Family Medical Group Inc is located at 440 Sunset Ct Ste C, Mt Zion, IL 62549. The listed phone number is (217) 864-1236.

What is Decatur Family Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Decatur Family Medical Group Inc was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.