| Eden Aurelio Md Sc | |
|
301 17th Ave East Moline IL 61244-2028 | |
| (309) 755-4548 | |
| (309) 755-4774 |
| Full Name | Eden Aurelio Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 17th Ave, East Moline, Illinois |
| Authorized Official Name and Position | Eden Gonzales Aurelio (MD PHYSICIAN) |
| Authorized Official Contact | 3097554548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Aurelio Md Sc 301 17th Ave East Moline IL 61244-2028 Ph: (309) 755-4548 | Eden Aurelio Md Sc 301 17th Ave East Moline IL 61244-2028 Ph: (309) 755-4548 |
| NPI Number | 1952579054 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952579054 | NPI | - | NPPES |
| 36066418 | Medicaid | IL | |
| 08105516 | Other | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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