| S S Kurella Md Pc | |
|
1011 Edgewood Ave Jerseyville IL 62052-1177 | |
| (618) 498-4606 | |
| Not Available |
| Full Name | S S Kurella Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1011 Edgewood Ave, Jerseyville, Illinois |
| Authorized Official Name and Position | Uma Kurella (OFFICE MANAGER) |
| Authorized Official Contact | 6184989502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S S Kurella Md Pc 1011 Edgewood Ave Jerseyville IL 62052-1177 Ph: (618) 498-4606 | S S Kurella Md Pc 1011 Edgewood Ave Jerseyville IL 62052-1177 Ph: (618) 498-4606 |
| NPI Number | 1831365881 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 07/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831365881 | NPI | - | NPPES |
| 036046971 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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