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Organization
S S KURELLA MD PC
Active
Organization
S S KURELLA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. UMA KURELLA (OFFICE MANAGER)
(618) 498-9502
Entity
Organization
Contact information
Practice address
1011 EDGEWOOD AVE, JERSEYVILLE, IL 62052-1177
(618) 498-4606
Mailing address
1011 EDGEWOOD AVE, JERSEYVILLE, IL 62052-1177
(618) 498-4606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036046971
—
IL
Enumeration date
04/30/2008
Last updated
07/26/2012
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