Daniel Jurak D O S C | |
935 E Division Coal City IL 60416-1346 | |
(815) 634-0529 | |
(815) 634-0127 |
Full Name | Daniel Jurak D O S C |
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Speciality | Family Medicine |
Location | 935 E Division, Coal City, Illinois |
Authorized Official Name and Position | Daniel M Jurak (OWNER) |
Authorized Official Contact | 8156348447 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daniel Jurak D O S C 935 E Division Coal City IL 60416-1346 Ph: (815) 634-8447 | Daniel Jurak D O S C 935 E Division Coal City IL 60416-1346 Ph: (815) 634-0529 |
NPI Number | 1134308612 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 10/31/2007 |
Medicare PECOS PAC ID | 8628150117 |
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Medicare Enrollment ID | O20080123000234 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134308612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
Provider Name | Daniel M Jurak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912919259 PECOS PAC ID: 1355422841 Enrollment ID: I20080123000229 |
Spyro D. Analytis, Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 N Broadway St, Coal City, IL 60416 Phone: 815-634-8030 Fax: 815-634-4052 | |
Liberty Medical Center Coal City Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 E North St, Coal City, IL 60416 Phone: 815-634-4099 Fax: 815-634-4077 |