Ilona Jurek Md Inc

NPI 1275712879 - Family Medicine - 207Q00000X

NPI Details
NPI 1275712879
Enumeration Date 10/31/2007
Last Updated 12/14/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURIE LAURIE
Position CREDENTIALING COORDINATOR
Phone (440) 960-5622
Fax (440) 960-1690
Practice Location
3600 KOLBE RD
STE 205
LORAIN OH, 44053-1654, US
Phone (440) 960-5622
Fax (440) 960-1690
Business Location
PO BOX 1303
AMHERST OH, 44001-7303, US
Phone (440) 244-0010
Fax (440) 244-0726
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35062523
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According to our database, Ilona Jurek Md Inc NPI is 1275712879, taxonomy code is 207Q00000X and license number is 35062523, license state is located at Ohio. Ilona Jurek Md Inc physically located at 3600 Kolbe Rd, Lorain OH, 44053-1654. NPI Number 1033115704 has the healthcare provider type.

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1275712879 NPI number is provided on an as is basis without warranty of any kind. 1275712879 is maintained by the National Plan & Provider Enumeration System. The contents of Ilona Jurek Md Inc are for informational purposes only.